Thyroid & Parathyroid Conditions C&p Progress Notes

[mekon1971]

NO C-FILE

1. Diagnosis

<X> Hypothyroidism

Date of Diagnosis: 1996 - Not treated

2. Medical record review

<X> Other, describe: CPRS Notes

3. Medical history

a. Describe teh history of the Veteran's thyroid and/or parathyroid condition:

States DX with hypothyroidism in 1996 while in the military. Been on medications 2005

b. Is continuous medication required for control of a thyroid or parathyroid condition?

<X> YES Synthroid 0,137

4 Findings, signs and symptoms

b. Does the Veteran currently have any findings, signs or symptoms attributable to a hypothyroid condition? YES

If yes, check all that apply

<X> Fatigability

If checked, describe: QD

<X> Constipation

<X> Mental sluggishness

<X> Muscular weakness

<X> Weight gain ---- Baseline 300 current 310

<X> Sleepiness

<X> Cold Intolerance

5. Physical exam

d. Blood pressure: 160/100

6. Reflex exam

1+ Hypoactive

Biceps Right 1+

Left 1+

Triceps Right 1+

Left 1+

Brachioradialis Right 1+

Left 1+

Knee Right 1+

Left 1+

Ankle Right 1+

Left 1+

10. Diagnostic testing

b. Has laboratory testing been performed? YES

<X> TSH Results: 6.65 Date: 12/11

12. Remark, if any:

Hypothyroidism