Case of the Week: Constipation and Uncontrolled Hypothyroidism

The Case of the Week series features a different article from Clinical Cases and Images each week:

Constipation as a Chief Complaint of Uncontrolled Hypothyroidism

A 61-year-old AAF was admitted to the hospital with a chief complaint of bilateral knee pain for 2 weeks. She was diagnosed with severe osteoarthritis (OA) and opioid pain medications were started. The patient's last bowel movement was one week prior to admission and she did not have any BM after that despite multiple laxatives.

Laboratory results

TSH was 41.40 mU/L.

What happened next?

Read more at Clinical Cases and Images.

The image in the upper right corner shows thyroid histology. Source: Wikipedia, public domain.

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Starting "Case of the Week" Series in Response to Reader Requests. Clinical Cases and Images - Blog, Nov 2008.
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Image source: Thyroid histology, Wikipedia, public domain.

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