The primary care provider determines that ms. a has hypothyroidism and orders a pregnancy test for her because she cannot recall the time of her last menstrual period. ms. a wants to know why this is so important. she states, “i know i’m not pregnant. i have been very careful since the birth of my son.” what is your most appropriate response? what medication interactions, if any, would you anticipate in this case with initiation of thyroid hormone replacement therapy?

Ms. A may have hypothyroidism as the body may not be producing enough amounts of the thyroid hormones T3 and T4. Ms. A is exhibiting common signs of the condition such as fatigue, hair loss, skin changes, temperature fluctuations, and lethargy. Maybe get her to do some blood tests to measure T3 and T4 levels.

explanation:

two years ago, when picking flowers in the mountains back of yosemite valley, i found a book. it was blotted and storm-beaten; all of its outer pages were mealy and crumbly. the paper seemed to dissolve like the snow beneath which it had been buried, however; many of the inner pages were well preserved. and although all were more or less stained and torn, whole chapters were easily readable. this is the condition of the great open book of yosemite glaciers today; its granite pages have been torn and blurred by the same storms that wasted the castaway book.two years ago, when picking flowers in the mountains back of yosemite valley; i found a book. it was blotted and storm-beaten, all of its outer pages were mealy and crumbly. the paper seemed to dissolve like the snow beneath which it had been buried, however, many of the inner pages were well preserved. and although all were more or less stained and torn; whole chapters were easily readable. this is the condition of the great open book of yosemite glaciers today, its granite pages have been torn and blurred by the same storms that wasted the castaway book.