Lethargy In A College Football Player - Page #4
 

Working Diagnosis:
Hypothyroidism

Treatment:
1. Referred for psychological evaluation, which was normal. <br>2. Referred to Endocrinology after labs obtained for evaluation and treatment recommendations. <br>3. Diagnosed with Hashimoto’s thyroiditis with subclinical hypothyroidism. <br>4. Levothyroxine 75 mcg daily was initiated.

Outcome:
Close follow up scheduled with Endocrinology at this time.

Author's Comments:
Returned to play immediately with improvement of symptoms over several weeks and is back to baseline currently. <br> <br>Unfortunately, athlete transferred to a different school during middle of academic year and follow up has not been obtained.

Editor's Comments:
I'd like to see a reference for Vitamin D and it relation to psychological effects. Based on recollection, it may affect cognitive function in the elderly but I was suprised to see Vitamin D deficiency on the differential and yet substance abuse was not.

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