Assessment of Hypothyroidism: Video, Anatomy, Definition & Function | Osmosis

Question

A 63-year-old man comes to the clinic for the first time complaining of excessive fatigue. He moved three months ago and is looking to establish care with a new physician. The patient states that he has felt tired and lethargic for the last 2 weeks. The patient is taking a medication for a “heart condition,” but he is unable to recall the name. He has also been taking acetaminophen daily to help relieve pain in his sore arms, which also started several weeks ago, and laxatives to help with bowel movements, which have slowed recently. Temperature is 37.2°C (99.0°F), pulse is 58/min and irregular, and blood pressure is 128/82 mm Hg. Physical examination reveals a slightly bluish hue to his skin. The upper extremities are diffusely tender to palpation. Laboratory studies are as follows:

Laboratory value Result
Sodium 137 mEq/L
Potassium 4.8 mEq/L
Chloride 97 mEq/L
Glucose 97 mEq/L
Creatine kinase (CK) 145 U/L
Aspartate aminotransferase 66 U/L
Alanine aminotransferase 77 U/L

Which of the following medications was this patient most likely taking?

Accepted Answer

Amiodarone

Answer

Pravastatin

Answer

Digoxin

Answer

Metoprolol

Answer

Verapamil

Questions or feedback?

Hypothyroidism

Pathology

Endocrine system