Carrie was silent for a moment as she touched daughter\'s hair. \"What about Hay
ID: 96403 • Letter: C
Question
Carrie was silent for a moment as she touched daughter's hair. "What about Hayden?" she asked. "Does our daughter have this too?" Dr. O'Dell pulled out another sheet of lab results. "Hayden's thyroxin levels were at the high end of normal during her newborn blood screen. Did anyone suggest a follow-up blood test?" "No, " answered Robert. "They said everything was fine: " "I'm afraid Hayden also has a problem, but one I hope is relatively easy to solve. Here's the data." For Hayden, Dr. O'Dell suggests three months of a low dose anti-thyroid medication (such as methimazole) that will reduce her thyroxin production. Regular blood tests to monitor both thyroxin and TSH levels will continued during this time. Why is short -time therapy (of several months duration) likely to work? Hayden's treatments would end about 6 months after her birth. Why is that number significant? Will long -term therapy (years or lifetime) be needed? Why or why not? Graves disease may have a heritable component. What future testing would you suggest for Hayden?Explanation / Answer
5 a) Radioactive isotopic treatment for duration of few months will be effective in the treatment as it control the production of thyroid hormone production and also check the growth of cancer cells and avoid any chance of reoccurrence of cancer.
b) Children and pediatrics patient s receiving the radioactive treatment may feel uncomfortable though they not have any pain more than that of prick but discomfort may be experience hence her age should be considered during the treatment.
C)After treatment with radioactive isotopes regular monitoring of thyroid glands should be done if the thyroxin is above the normal level the treatment may be carried for longer time even for life time and occurrence of hyperactive thyroid cells the treatment may extended for further time. treatment can be extended by seeing the high levels of thyroid stimulating hormone in blood.
d) People affected with grave disease may feel fatigue, rapid heart beat, tremulousness and heat intolerance all these affects may lead to severe heart condition regular hear check up should be advised. As it is a genetic disorder knowing the genetic makeup will be helpful in avoiding the disease in future generations.