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What statements) is (are) true about hypothyroidism?

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Final answer:

Hypothyroidism is when the thyroid gland is insufficiently active, leading to symptoms like fatigue and weight gain. Treatment usually involves hormone replacement, potentially for life, but that does not apply to every case, and symptoms are not always obvious. Patient A likely has hypothyroidism while Patient B's symptoms suggest hyperthyroidism.

Step-by-step explanation:

Understanding Hypothyroidism

Hypothyroidism is a condition characterized by an underactive thyroid gland that results in insufficient production of thyroid hormones T3 and T4.

This can stem from an issue with the thyroid gland itself, the pituitary gland, the hypothalamus, or a deficiency of iodine.

The signs and symptoms of hypothyroidism include fatigue, cold intolerance, weight gain, shortness of breath, constipation, menorrhagia, poor memory and hearing, hoarseness, slow heart rate, delayed reflexes, and carpal tunnel syndrome.

When it comes to treatment, T3 and T₄ hormone replacement is standard and may need to be continued for life.

However, the misconception that every thyroid disorder requires lifelong medication is not accurate. Also, not all cases present with clear symptoms, as some individuals with thyroid conditions may have subtle or easily overlooked signs.

When assessing whether Patient A or Patient B has hypothyroidism, we can deduce that Patient A, showing symptoms of weight gain, cold sensitivity, low heart rate, and fatigue, is more likely to be experiencing hypothyroidism.

Patient B, with symptoms indicative of an overactive thyroid, would more likely be diagnosed with hyperthyroidism.

Treatment of hypothyroidism is crucial, especially during pregnancy, as it can significantly affect fetal development, leading to cognitive deficits or even deafness if not managed properly.

It is also important to note that hypothyroidism can lead to a reduced basal metabolic rate (BMR) and the presence of hypercholesterolemia. This further underscores the importance of managing the condition effectively.

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