Week 4 primary discussion Case Scenario Hypothyroidism You are working in a community outpatient clinic where you perform the intakeassessment on R.M a 38-year-old woman.

WEEK 4 PRIMARY DISCUSSION CASE SCENARIO HYPOTHYROIDISM YOU ARE WORKING IN A COMMUNITY OUTPATIENT CLINIC WHERE YOU PERFORM THE INTAKEASSESSMENT ON R.M A 38-YEAR-OLD WOMAN Case Scenario - Hypothyroidism You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38-year-old woman who is attending graduate school and is very sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather.