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A 25-year-old woman who was 6 months postpartum, visited her physician with complaints of tiredness, always feeling cold, muscle weakness, menorrhagia, and weight gain.  Her physician noted some facial edema and dry skin.  The woman's CBC indicated a mild, normocytic, normochromic anemia.  See chemistry results below.   Patient Reference Range Sodium 136 13-145 mEq/L Potassium 3.7 3.6-5.0 mEq/L Chloride 94 98-107 mEq/L CO2 30.0 24.0-34.0 mEq/L Glucose 90 80-12 mg/dL BUN 23 7-24 mg/dL Creatinine 0.9 0.5-1.2 mg/dL Calcium 9.7 8.5-10.5 mg/dL Cholesterol 310 <200 mg/dL Triglyceride 200 <250 mg/dL Bilirubin 0.2 0.2-1.2 mg/dL AST 40 5-40 IU/L ALP 68 30-157 IU/L CK 300 24-179 IU/L Total protein 7.3 6.0-8.4 g/dL Albumin 4.1 3.5-5.0 g/dL TSH 21.896 0.300-5.000 μIU/mL Total T4 7.33 4.60-11.0 μg/dL T3 Uptake 26 25-30% Free thyroxine index 1.91 4.5-12       Question 2 (3 points)                   Which diagnosis is most probable based on the laboratory findings?   Question 2 options:   A)  secondary hyperthyroidism   B)  primary hyperthyroidism   C)  secondary hypothyroidism   D)  primary hypothyroidism

A 25-year-old woman who was 6 months postpartum, visited her physician with complaints of tiredness, always feeling cold, muscle weakness, menorrhagia, and weight gain.  Her physician noted some facial edema and dry skin.  The woman's CBC indicated a mild, normocytic, normochromic anemia.  See chemistry results below.   Patient Reference Range Sodium 136 13-145 mEq/L Potassium 3.7 3.6-5.0 mEq/L Chloride 94 98-107 mEq/L CO2 30.0 24.0-34.0 mEq/L Glucose 90 80-12 mg/dL BUN 23 7-24 mg/dL Creatinine 0.9 0.5-1.2 mg/dL Calcium 9.7 8.5-10.5 mg/dL Cholesterol 310 <200 mg/dL Triglyceride 200 <250 mg/dL Bilirubin 0.2 0.2-1.2 mg/dL AST 40 5-40 IU/L ALP 68 30-157 IU/L CK 300 24-179 IU/L Total protein 7.3 6.0-8.4 g/dL Albumin 4.1 3.5-5.0 g/dL TSH 21.896 0.300-5.000 μIU/mL Total T4 7.33 4.60-11.0 μg/dL T3 Uptake 26 25-30% Free thyroxine index 1.91 4.5-12       Question 2 (3 points)                   Which diagnosis is most probable based on the laboratory findings?   Question 2 options:   A)  secondary hyperthyroidism   B)  primary hyperthyroidism   C)  secondary hypothyroidism   D)  primary hypothyroidism

Chemistry
Chemistry
10th Edition
ISBN:9781305957404
Author:Steven S. Zumdahl, Susan A. Zumdahl, Donald J. DeCoste
Publisher:Steven S. Zumdahl, Susan A. Zumdahl, Donald J. DeCoste
Chapter1: Chemical Foundations
Section: Chapter Questions
Problem 1RQ: Define and explain the differences between the following terms. a. law and theory b. theory and...
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A 25-year-old woman who was 6 months postpartum, visited her physician with complaints of tiredness, always feeling cold, muscle weakness, menorrhagia, and weight gain.  Her physician noted some facial edema and dry skin.  The woman's CBC indicated a mild, normocytic, normochromic anemia.  See chemistry results below.

 

Patient

Reference Range

Sodium

 136 13-145 mEq/L

Potassium

 3.7 3.6-5.0 mEq/L

Chloride

 94 98-107 mEq/L

CO2

 30.0 24.0-34.0 mEq/L

Glucose

 90 80-12 mg/dL

BUN

 23 7-24 mg/dL

Creatinine

 0.9 0.5-1.2 mg/dL

Calcium

 9.7 8.5-10.5 mg/dL

Cholesterol

 310 <200 mg/dL

Triglyceride

 200 <250 mg/dL

Bilirubin

 0.2 0.2-1.2 mg/dL

AST

 40 5-40 IU/L

ALP

 68 30-157 IU/L

CK

 300 24-179 IU/L

Total protein

 7.3 6.0-8.4 g/dL

Albumin

 4.1 3.5-5.0 g/dL

TSH

 21.896 0.300-5.000 μIU/mL

Total T4

 7.33 4.60-11.0 μg/dL

T3 Uptake

 26 25-30%

Free thyroxine index

 1.91 4.5-12
     

Question 2 (3 points)

 
 
 
 
 
 
 
 
 

Which diagnosis is most probable based on the laboratory findings?

 
Question 2 options:
 

A) 

secondary hyperthyroidism
 

B) 

primary hyperthyroidism
 

C) 

secondary hypothyroidism
 

D) 

primary hypothyroidism

 
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