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(Answered) NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE Thyroid Troubles: A Case Study in Negative Feedback Regulation by Breanna N. Harris Department of...


NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE Thyroid Troubles: A Case Study in Negative Feedback Regulation by Breanna N. Harris Department of...


Case study about thyroid. Total of 14 questions and two charts.Case copyright held by the

 

National Center for Case Study Teaching in Science

 

, University at Buf

 

alo, State University oF New York.

 

Originally published September 19, 2016. Please see our

 

usage guidelines

 

, which outline our policy concerning permissible reproduction oF this

 

work. Licensed image in title block © maya±²²8|³otolia, ID 77061020.

 

Part I – Initial Of

 

ce Visit

 

You are six months into a year-long internship at ´r. Mara Siddiqui’s endocrinology clinic. So Far, you’ve had a great

 

experience with ´r. Siddiqui and you’ve seen patients with a wide range oF endocrine issues. Today, you will shadow

 

´r. Siddiqui as she examines Angela Barber, a patient who was reFerred by her primary care physician. While waiting,

 

you pull up Angela’s inFormation on the computer and you µ

 

nd that she is a 5±-year-old AFrican American woman.

 

Except For not Feeling like herselF over the last three months, she has no health issues.

 

Angela arrives at the clinic and you accompany the nurse to the exam room to get Angela’s vitals. ´r. Siddiqui comes

 

into the exam room and asks Angela what has been bothering her. Angela tells the doctor that she has been cold, tired,

 

Fatigued, and just not Feeling up to her normal activities. She has also gained roughly ±² pounds, even though she has

 

been consciously monitoring her Food intake. Angela can’t understand what is wrong—she went through menopause a

 

year ago but she insists that the way she is Feeling is not related to that change; she also has not changed anything else

 

about her normal routine. ´r. Siddiqui listens to Angela and then examines her ears, eyes, and throat; she also listens

 

to Angela’s lungs and heart, and palpates her neck and abdomen. All oF Angela’s vitals and the outcome oF the initial

 

exam are within normal range. ´r. Siddiqui tells Angela that she suspects a thyroid issue and would like to order some

 

blood tests.

 

Angela asks about the thyroid and why it is important. ´r. Siddiqui asks you to help explain this hormone system to

 

the patient.

 

Questions

 

¶. ´iagram the hypothalamic-pituitary-thyroid axis. Make sure to include the Feedback loops and spell out the

 

hormone names.

 

±. What is the physiological role oF thyroid hormones? ´oes T

 

3

 

or T

 

4

 

play a larger role on the target tissues?

 

Explain.

 

by

 

Breanna N. Harris

 

Department oF Biological Sciences

 

Texas Tech University, Lubbock, TX

 

Thyroid Troubles:

 

A Case Study in Negative

 

Feedback Regulation

 

NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE

 


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