Abdominal Pain Case Study

The patient was a forty-one-year-old man. He reported to the doctor’s office complaining that he was suffering from abdominal pain in the right upper quadrant of his torso. It was apparent, just by looking at the patient that he was overweight. Quick measurements revealed a Body Mass Index (BMI) of 34. This BMI level indicated that the patient had a potential for obesity. This finding was not only alarming in itself but could also be an indicator for further underlying health issues. An investigation of the patient’s medical history revealed that he had suffered from and sought treatment for papillary thyroid carcinoma, hypothyroidism, and back pains. He was currently under a series of medications namely Zyrtec 10 mg daily, Synthroid 25 mcg daily, and Protonix 40 mg daily. Zyrtec was administered to relieve the patient of the symptoms of allergic reactions. Protonix helped in relieving the amount of acid secreted in the stomach as well as treating erosive esophagitis. Synthroid helped replace a thyroid gland hormone that regulates the level of the body’s metabolism and energy. The patient was allergic to cephalexin and penicillin.
Based on the patient’s medical history with papillary cancer, as well as the known relationship between papillary thyroid cancers, it was critical to evaluate him for thyroid masses (Wu et al., 2014). This evaluation was done by examining thyroid tissue. The patient received treatment through complete thyroidectomy and radioactive iodine 131. The medications of Zyrtec 10 mg daily, Synthroid 25 mg daily, and Protonix 40 mg daily were continued. Proper hormone therapy was determined as necessary and administered.

References

Wu, W., Chu, J., Nael, A., Rezk, S., Romansky, S., & Shane, L. (2014). Thyroid-Like Follicular Carcinoma of the Kidney in a Young Patient with the History of Pediatric Acute Lymphoblastic Leukemia. Case Reports In Pathology, 2014, 1-10. Doi:10.1155/2014/313974