Endocrinology Case Study


CHART NOTE

A 34-year-old lady who comes to clinic today with longstanding history of hypothyroidism, for which she has taken Cytomel in the past.  Comes in today for a refill of medication and further evaluation.

Examination shows her to be in no acute distress.  Blood pressure 120/88.  HEENT normal.  Chest is clear.  Cardiac examination reveals regular rate and rhythm without murmur.

ASSESSMENT
A 34-year-old lady with longstanding hypothyroidism.  I would prefer to switch her to Synthroid 0.1 mg as I think the packaging is more uniform in this product.  Then test thyroid-stimulating hormone in 1 month.

FOOTNOTE
Line 7.  The article A was added to avoid beginning the sentence with a numeral.
Line 13.  The blood pressure value 120 by 88 is written 120/88.
Line 18.  A zero was inserted before the decimal point for clarity.
Lines 19, 20.  TSH is expanded in the assessment for clarity.

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