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CONDITION/DISORDER SYNONYM
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PREFERRED PRACTICE PATTERNS1
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4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning
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PATIENT PRESENTATION
A 35-year-old female presents with complaints of a rapid heartbeat, excessive sweating, difficulty sleeping, irritability, and weight loss of 25 lb in the last 4 months despite having an increased appetite. Upon further questioning, she reports frequently feeling hot, having increased loose stools or diarrhea, and thinning of her hair. She has no other past medical history. Family history reveals a history of maternal “thyroid issues” and paternal hypertension. Past routine physical examinations document heart rates in the 70s and blood pressures around 110/70, but today her blood pressure is 135/90 and heart rate is 110 beats per minute. On examination, you note a fine tremor in her hands, bulging eyes, pretibial myxedema (PTM), and a diffusely enlarged thyroid.
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Graves disease is an autoimmune disorder
Overactivity of the thyroid gland (hyperthyroidism)
Produces excessive amount of thyroid hormone
Enlargement of the thyroid gland
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Essentials of Diagnosis
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Diagnosis is made by the symptoms
Thyroid hormone test
Onset of symptoms is often insidious
Symptoms build over a period of time, which can delay diagnosis
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General Considerations
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Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
May cause pathology in multiple organ systems
May result in secondary problems
Aerobic capacity and muscle endurance impairment
Sarcopenia
Weakness/impaired muscle performance
Musculoskeletal problems
Neuromuscular problems
Weight gain indicating the need for PT intervention, depending ...