2021-Clinical Reasoning Case Study-Med Surg-Roger Clinton

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Roger Clinton Room 306 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. His pastsymptoms for three months... have been that he noticed a slight hoarseness inspeaking, a slight dry cough not related to a cold, and upon examination hada “pea-size lump on the center of his neck”. His Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. Roger knows that it will take three days after surgery to determine if he has cancer, but does not understand the implications resulting from a thyroidectomy. (Lifetime thyroid replacement medication.) [Show More]

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