Hyperthyroidism Case Study Nursing

Added on - 15 Apr 2020

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NURSING CASE STUDYNursing Case StudyName of the StudentName of the UniversityAuthor note
1NURSING CASE STUDYCase Study: Answer 3Graves disease or hyperthyroidism is a kind of autoimmune disease that results from theover-production of the thyroid hormones in response to auto-antibodies or long acting thyroidstimulating (LATS) antibodies. In normal cases, the secretion of the thyroid hormones from thethyroid glands occurs in response of Thyroid Stimulating Hormone (TSH), which is secretedfrom the anterior pituitary gland. Secreted TSH hormone binds to the TSH receptors of thethyroid gland, leading to the secretion of thyroid hormones, thyroxine (T4) and tri-iodothyronine(T3). However, in the diseased condition, the auto-antibodies bind mimics the structural integrityof the TSH and binds specifically to the TSH-receptors. TSH-receptors also mistakenlyrecognise these LATS antibodies as TSH and activations the pathway of thyroid hormonesecretion. But the over stimulation occurs because the binding of the LATS antibodies are arenegatively regulated via feedback inhibition as in case of the TSH and this lead to prolongsecretion of T3 and T4 and thereby leading to the generation of hyperthyroidism or grave’sdisease (Falgarone et al., 2013).The main risk factor behind the development of hyperthyroidism is genetic-predispositionor previous family cases of auto-antibody related disorders. The birth of the auto-antibodiesgenerally takes place via spontaneous mutation or via the connection behind the genetic historyand hence previous family history is extremely significant in the development of the disease(Chu et al., 2013).Case Study: Answer4Isabella’s blood reports give a clear interpretation about the link of the hyperthyroidismwith her current condition.
2NURSING CASE STUDYName of the HormonesBlood Report of PatientNormal ParameterTSH1.00 mirco ml per litre0.5-4.2 micro ml per litreFree T440pmpl/L10-20 pmol/LFree T316 pmol/L3.5-6.0 pmol/LSource: Case StudyIsabella’s TSH level is under the normal range which signifies that her TSH secretionhave not encountered any malfunctioning. If TSH is normal then T3 and T4 concentration in theblood will also be normal as the secretion of TSH and thyroid hormones are inter-related.However, the case of Isabella is different. Her T3 and T4 concentration is extremely high. Itsignifies that the secretion of T3 and T4 is taking place beyond the influence of TSH and that isauto-antibodies for the TSH-receptors or the LATS antibodies. Thus the condition of Isabella canbe directly linked with the hyper-thyroidism or Grave’s disease. The symptoms of Isabella alsogives indication towards the possible occurrence of hyperthyroidism like weight loss andincreased appetite (Menconi, Marcocci & Marinò, 2014).Case Study: Answer5Digestion starts from the mouth itself via the action of the salivary glands. Teeth breakdown the food into smaller particles. Thus the main structure of the digestive system includemouth, salivary gland, parotid gland, pharynx, oesophagus, stomach, liver, pancreas, gallbladder, duodenum, small intestine, large intestine (colon), appendix and ileum (Sherwood,2015).
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