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QUESTIONS THAT NEEDS TO BE ADDRESSED
What is the chief complaint in this case study?
What are important questions to ask the patient to formulate the
history of present illness and what did the patient tell you?
What components of the physical exam are important to review in this case?
What are pertinent positive and negative physical exam findings to
help you formulate your diagnosis?
Which differential diagnosis is to be considered in this case study?
What was your final diagnosis?

THIS IS THE CHIEF COMPLAINT
E.B. is a 21 y/o college student who presents to the ED with a
complaints of fever, cough, nausea, vomiting, shaking, unintentional
weight loss, increased bowel movement frequency and palpitations. She
recovered from the flu but now has exercise and heat intolerance,
insomnia and oligomenorrhea. Her emotional lability and anxiety is
affecting her personal relationships. She is febrile, tachycardic,
tachypneic, hyperreflexic, has a new flow murmur and is demonstrating
uncontrolled anxiety and emotional lability. She has an enlarged
thyroid, palpable thyroid isthmus with a thyroid thrill and bruit.
temp is 100.9,

DIAGNOSIS Hyperthyroidism, thyrotoxic crisis

THESE ARE THE DIFFERENTIAL DIAGNOSIS ALREADY, YOU DO NOT NEED TO
FORMULATE ONE. sepsis pneumonia drug intoxication

I also need references from this books
Goolsby, Jo, M., Grubbs, Laurie. (2014). Advanced Assessment:
Interpreting Findings and Formulating Differential Diagnoses, 3rd
Edition.

McCance, K., Huether, S., Brashers, V. & Rote, N. (2014).
Pathophysiology: The Biologic Basis for Disease in Adults and
Children.

Woo, T. M., & Wynne, A. L. (2012). Pharmacotherapeutics for nurse
practitioner prescribers (3rd ed.). Philadelphia, PA: F.A. Davis Co.

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