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

Introduction to General, Organic and Biochemistry

11th Edition

ISBN:9781285869759

Author:Frederick A. Bettelheim, William H. Brown, Mary K. Campbell, Shawn O. Farrell, Omar Torres

Publisher:Frederick A. Bettelheim, William H. Brown, Mary K. Campbell, Shawn O. Farrell, Omar Torres

Chapter31: Immunochemistry

Section: Chapter Questions

Problem 31.72P

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Related questions

Question

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
T₃Uptake	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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