Which of the following is the most appropriate treatment? A. Increase L-thyroxine and check TSH in 6 weeks B. Increase L-thyroxine and check TSH in 3 weeks C. Decrease L-thyroxine... Which of the following is the most appropriate treatment? A. Increase L-thyroxine and check TSH in 6 weeks B. Increase L-thyroxine and check TSH in 3 weeks C. Decrease L-thyroxine and check TSH in 6 weeks D. Decrease L-thyroxine and check TSH in 3 weeks
Understand the Problem
The question is asking for the most appropriate treatment option for a patient with hypothyroidism, given the lab results and symptoms presented. It requires analyzing clinical information about thyroid hormone levels and determining the best action based on those levels.
Answer
Increase L-thyroxine and check TSH in 6 weeks.
The final answer is Increase L-thyroxine and check TSH in 6 weeks.
Answer for screen readers
The final answer is Increase L-thyroxine and check TSH in 6 weeks.
More Information
With a high TSH level of 19.9 mU/L, the patient’s hypothyroidism is not adequately controlled. An increase in L-thyroxine dose is appropriate, and follow-up TSH testing should occur in 6 weeks to assess the effect of the dosage change.
Tips
A common mistake is adjusting medication without monitoring for the recommended timeline, resulting in ineffective treatment adjustments.
Sources
- Hypothyroidism: Diagnosis and Treatment - AAFP - aafp.org
- Hypothyroidism Treatment & Management - Medscape Reference - emedicine.medscape.com
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