А 25-year chronic headache and diminished vision in his left eye. Your general physical examination on him was found to be normal, with his thyroid at a normal size. When you did a thorough eye examination, it revealed that his visual sharpness in his right eye was 6/6, but in his left eye it was 9/36. There was no mass or tumor seen directly on his eyes, including his left eye. buno You next test for some hormones to see if there is an endocrine source to his symptoms and get the following results: Prolactin (PRL) Thyroid-Stimulating Hormone (TSH) Corticotropin-Releasing Hormone (CRH) Growth Hormone (GH) RESULT 180 ng/ml 1.2 mUA 1.5 pmol 2 ng/mL NORMAL RANGE 4.6-21.4 ng/ml 0.4-4 mU/ 0.77-2.5 pmal/ 0.4-10 ng/mL

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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A 25-year-old young male patient comes into your endocrinology clinic with complaints of
chronic headache and diminished vision in his left eye. Your general physical examination on
him was found to be normal, with his thyroid at a normal size. When you did a thorough eye
examination, it revealed that his visual sharpness in his right eye was 6/6, but in his left eye it
was 9/36. There was no mass or tumor seen directly on his eyes, including his left eye.
You next test for some hormones to see if there is an endocrine source to his symptoms and
get the following results:
Prolactin (PRL)
Thyroid-Stimulating Hormone (TSH)
Corticotropin-Releasing Hormnone (CRH)
Growth Hormone (GH)
RESULT
180 ng/ml
1.2 mUA
1.5 pmol
2 ng/mL
NORMAL RANGE
4.6-21.4 ng/ml
0.4 4 mUA
0.77-2.5 pmo/I
0.4-10 ng/mL
1) Based on the additional information above, what is your initial and primary suspected
diagnosis?
2) What additional tests would you want to run? Would you want to know anything more from
his medical history?
Transcribed Image Text:A 25-year-old young male patient comes into your endocrinology clinic with complaints of chronic headache and diminished vision in his left eye. Your general physical examination on him was found to be normal, with his thyroid at a normal size. When you did a thorough eye examination, it revealed that his visual sharpness in his right eye was 6/6, but in his left eye it was 9/36. There was no mass or tumor seen directly on his eyes, including his left eye. You next test for some hormones to see if there is an endocrine source to his symptoms and get the following results: Prolactin (PRL) Thyroid-Stimulating Hormone (TSH) Corticotropin-Releasing Hormnone (CRH) Growth Hormone (GH) RESULT 180 ng/ml 1.2 mUA 1.5 pmol 2 ng/mL NORMAL RANGE 4.6-21.4 ng/ml 0.4 4 mUA 0.77-2.5 pmo/I 0.4-10 ng/mL 1) Based on the additional information above, what is your initial and primary suspected diagnosis? 2) What additional tests would you want to run? Would you want to know anything more from his medical history?
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