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Discuss what questions you would ask the patient, what physical exam elements you
would include, what further testing you would want to have performed, differential and
working diagnosis, treatment plan, including inclusion of complementary and OTC
therapy, referrals, and other team members needed to complete patient care.
Use at least one scholarly source other than your textbook to connect your response to
national guidelines and evidence-based research in support of your ideas.

  1. You have a 9-year-old female patient who was newly diagnosed with
    hypothyroidism last month. She is here to see you for a well-child exam. The mother
    states that she has not filled the prescription because she wants to see if acupuncture
    and herbal remedies will work first.
    • How should you approach the mother on her use of complementary therapy?
    • What should you tell the mother about the need for levothyroxine medication?
    • What does the evidence say about acupuncture as a complementary therapy for
    chronic diseases?
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