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 Discuss the criteria that must be met in order to diagnosis a patient with hypothyroidism. Find the gold standard, best practice guidelines, or evidence-based information to support your answer.
Hypothyroidism is caused by the thyroid’s gland inability to produce thyroid hormone as required by the body. The diagnosis of hypothyroidism requires the laboratory testing of the thyroid stimulating hormone known as TSH. When the TSH is found to be elevated, a clinician should repeat the test along with a free thyroxine (T4) measurement. If the TSH is found to be elevated, while the T4 is normal, the patient is said to suffer from subclinical hypothyroidism. However, if the TSH is elevated and the T4 is low, the diagnosis is primary hypothyroidism (Gaitonde et al., 2012).
 How did this patient get
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Hashimoto’s Disease is an autoimmune disease that causes the immune system to attack the thyroid gland. Hashimoto’s disease causes inflammation to the gland causing chronic lymphocytic thyroiditis, resulting in hypothyroidism (Mayo clinic, 2014). This is the most common cause of hypothyroidism in the US and the symptoms are manifested by fatigue, cold intolerance, constipation, weight gain, pale , dry skin, hoarse voice, pain and stiffness in the joints and muscles, menorrhagia, and depression (Mayo clinic, 2014).
 Identify the predisposing factors of hypothyroidism for the patient in this clinical case scenario.
The one predisposing factor for this patient is being a woman. According to Mayo clinic (2014), women are more likely to have Hashimoto’s disease.
 What were the specific common complaints and signs/symptoms of hypothyroidism that this patient exhibited or presented with?
The common complaints and signs/symptoms the patient presented with are unexplained weight gain, foggy thinking, depression, sleep disturbance, hair loss, constipation, and fatigue.
 List [7] seven differential diagnoses with suspected

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