is a 59-year-old female who presents with a history of migraine headaches and thyroid problems for about 10 years. She reports having a growth of 4 by 8 centimeters on both sides of her thyroid, which was monitored every six months. A bronchoscopy revealed a cyst on her vocal cord, for which she is scheduled for surgery next month in Yugoslavia. She has a history of complete thyroidectomy s/p large tumor removal. The oncology center in yugoslavia follows up with her every six months. The patient reports difficulty breathing and is concerned about her weight gain, despite not eating much. She is interested in having her hormones checked.
Levothyroxine was increase in December from 100 to 125 but has not done labs since the change.
Last Pap smear 2023
Period started at 14 years old, 2 vaginal births last mammography=good, menopausal at 53, no miscarries.
References less than 5 years old, Rubric and soap note template dropped on files