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Mrs. Greene, 28-year-old female who is six weeks postpartum. Mrs. Greene is being seen for her routi

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Mrs. Greene, 28-year-old female who is six weeks postpartum. Mrs. Greene is being seen for her routine six-week postpartum check-up. She appears anxious and expresses she has had loose stools for the last week. She also expresses that she is feeling extremely fatigued, irritable, and anxious and has been experiencing tremors in her hands and heart palpitations.

Upon assessment, the nurse notes her pulse is bounding and irregular with a rate of 110 bpm. Her blood pressure is normal at 136/89. Her respiratory rate is twenty breaths per minute, and her oxygen saturation is 98%. Her temperature is mildly elevated at 100 degrees Fahrenheit, and her skin is warm and moist to the touch. The nurse notes a slight appearance of enlargement in her neck.  Abdominal sounds are hyperactive, and edema is seen in her extremities. Labs are drawn, and the results are:

Mrs. Greene’s laboratory results

Test

Value

Normal Range

Flag

Platelet count

128,000

130,000-400,000

Low

Hematocrit (HCT)

38%

Female: 36%-47%

Male: 40%-54%

 

WBC

12.2

3.4 – 9.6

High

RBC

4.0

Female: 4.2-5.4

Male: 4.6-6.19

 

Hemoglobin

12.2

12-16

 

Glucose

76

74-106 mg/dL

 

Potassium

4.1

3.5-5 mmol/L

 

Mg

1.0

1.5-2 mEq/L

 

Blood Urea Nitrogen

24

8-21 mg/dL

High

pO2

98

75-100 mmHg

 

Na

138

135-145 mmol/L

 

Creatinine

0.7

0.8-1.3 mg/dL

 

pH

7.35

7.35-7.45

 

TSH

0.1

0.5-5

 Low

Free T3

1.2 ng/dL

0.2-0.5ng/dL

High

Free T4

28 pmol/L

10-20 pmol/L

High

What might be the cause of Ms. Greene’s symptoms?

SCIENCE
HEALTH SCIENCE
NURSING
AST MISC

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