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The lecture Thyroid Case: 52-year-old Woman with Weight Gain, Fatigue and Poor Concentration by Michael Lazarus, MD is from the course Thyroid Disorders.
Which of the following history and physical examination findings is most consistent with hypothyroidism?
What is the best next step for a patient with elevated an TSH level and a decreased T4 level?
What is the next step in the treatment of the patient described below? A 52-year-old woman presents for follow-up of her thyroid tests. Two weeks ago, she complained of weight gain, fatigue, and poor concentration. Physical examination: BMI of 33 kg/m2, heart rate of 55 beats/min, dry and coarse skin, and deep tendon reflexes demonstrated a delayed relaxation phase. Laboratory test results: elevated TSH level at 24 μU/mL, low free T4, and positive TPO Ab level.
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