E. is a 29-year-old woman with a 7-month history of heavy, irregular menses, a 5-lb weight gain, constipation, and decreased energy. her past history is unremarkable. she takes no prescription medications but uses iron and calcium supplements. she has a family history of thyroid disease. on examination, her weight is 152 lbs, her heart rate is 64 bpm, and her blood pressure is 138/86. her thyroid gland is mildly enlarged, without nodularity. she has trace edema in her lower extremities, and her reflexes are slow. laboratory studies are as follows: tsh is 15.3 miu/ml (elevated), free t4 is 0.3 miu/ml, and total cholesterol is 276 mg/ml.

diagnosis: primary hypothyroidism answer the following questions. include two references, cited in apa style.

list specific goals of treatment for m. e. what drug therapy would you prescribe? why?
what are the parameters for monitoring the success of the therapy?
discuss specific patient education based on the prescribed therapy.
list one or two adverse reactions for the selected agent that would cause you to change therapy.
what would be the choice for second-line therapy?
what over-the-counter and/or alternative medications would be appropriate for m. e.?
what lifestyle changes would you recommend to m. e.?
describe one or two drug–drug or drug–food interactions for the selected agent.

Give the medical names for the bones described: collar bone shoulder blade wrist bones thigh bobe kneecap upper arm bone breast bone finger bones shin bone

4. you are asked to make 125 grams of a 7% antifungal cream using tolnaftate powder and eucerin cream. how many grams of tolnaftate powder are needed? round to the nearest hundredths (w/w)

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?