Endocrinology Case Study


CHART NOTE

One grain of thyroid did not work as well as 1-1/2 in terms of reducing facial and neck edema.  When she sleeps away from home, however, the edema does not occur.  It is almost certainly an allergy to some component of her house.  I suggested, since she is going to college, that she try to taper and discontinue the thyroid over a 3-month period.  Will return in 6 months if still on 1-1/2 grains, otherwise 1 year if on a lower dose of thyroid.  Pulse 75, blood pressure normal.  Heart and lungs okay.  Has a small mole which does not appear to be a problem.


CHART NOTE

ACTH injection given for adrenal function tests.

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