A 35-year-old woman is admitted to the community clinic with a complaint of increased warmth, palpitations, and weight loss. She has noted these symptoms for the past 2 months. She has lost 5 pounds over the past 3 weeks even though she has been hungry and eating frequently.
She states she is healthy and takes no medications.
On the nursing assessment, the following physical findings were noted:
BP 130/60, P 110, R 22
Skin: moist and soft
HEENT: slight protrusion of both eyes
Heart: rate 110, regular, without murmur or gallop
Lungs: clear to auscultation
EXT: fine tremors noted in both hands
1. Reviewing the clinical manifestations above, is the patient displaying signs and symptoms of hyper or hypothyroidism. Explain the rationale for your answer.
2. How can you explain the increased sensation of palpitations and increased heart rate in this patient? How does it relate to the sympathetic nervous system response?
3. When the nurse noted the protrusion of both eyes above, what complication of thyroid disease is most likely? What is the underlying pathophysiology of this condition?