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Short Answer Questions · Q8

Q.An adult patient suffers from low heart rate, low metabolic rate and low body temperature. He also lacks alertness, intelligence and initiative. What can be this disease? What can be its cause and care?

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Low heart rate, low BMR, low temperature and dulled alertness in an adult point to myxoedema, from thyroid hormone deficiency.

This symptom cluster matches a specific, named adult thyroid disorder.

Step 1. Hypothyroidism (deficient thyroid hormones, or a thyroidectomy) in an adult produces myxoedema.

Step 2. Its features are exactly as described: slow heart rate, low body temperature, and a lowered basal metabolic rate, along with peculiar thickening and puffiness of the skin and subcutaneous tissue (especially face and extremities).

Step 3. It also causes lack of alertness and intelligence, matching the patient's dulled mental state. …

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