Send us a text

Episode 26 Obesity

Shoot me any comments or questions @Rotation2ptoh on X

Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Tree of Life by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO

Edited by: Todd Fredricks DO

Answers for Episode 25 Hyperthyroidism

Question 1: Diagnosis and Pathophysiology

A 35-year-old woman presents with weight loss, palpitations, and heat intolerance. On examination, she has a diffusely enlarged thyroid with a bruit and mild exophthalmos. Laboratory tests reveal suppressed TSH and elevated free T4. Which of the following is the most appropriate next step to confirm the diagnosis?

C. TRAb (TSH receptor antibody) assay

Question 2: Pharmacologic Management

A 42-year-old woman with newly diagnosed Graves’ disease has a free T4 level that is 2.5 times the upper limit of normal. She is not pregnant. Which of the following is the most appropriate initial dose of methimazole?

C. 30–40 mg daily

Question 3: Treatment Complications

A 29-year-old woman with Graves’ disease is started on methimazole. Three weeks later, she presents with fever and sore throat. Which of the following is the most appropriate next step?

B. Order a complete blood count immediately

Paper for next week:

Gracia Fahed, Laurence Aoun, Morgan Bou Zerdan, Sabine Allam, Maroun Bou Zerdan, Youssef Bouferraa and Hazem I. Assi, Metabolic Syndrome: Updates on Pathophysiology and Management in 2021, Int. J. Mol. Sci. 2022, 23, 786

Rotations 2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSS.

Rotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency.

Listeners interested in specifics from the paper authors should contact them directly through their respective institutions.

Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.