VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms. Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal. What is the connection between the patient’s symptoms in relation to the anatomic structures involved?

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
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VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms.

Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal.


What is the connection between the patient’s symptoms in relation to the anatomic structures involved?

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