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A 24-year-old female patient enters the office. She has low blood glucose levels

ID: 3483512 • Letter: A

Question

A 24-year-old female patient enters the office. She has low blood glucose levels. A urine test also indicates very low levels of minerals in her urine. She has an infrequent and light menstrual period. You perform a blood test and receive the following results.

After reviewing her results, you come to a conclusion. What might be wrong with this patient and how does this diagnosis correlate with the symptoms presented by the patient?

Hormone TSH Prolactirn ACTH HGH LH FSH ADH Parathyroid hormone Calcitonin Cortisol Values 3.6 mlU/L 12 ng/mL 98 pg/mL 4.0 ng/ml 6.6 IU/L 3.5 mlU/mL 4 pg/mL 47 pg/mL 8 pg/mL 19 g/dL

Explanation / Answer

TSH: The normal value of TSH is 0.04ml U/L but the TSH lebel is increased in the patient.

PROLACTIN: The normal range is 80-400ng/dL. The data shows that the prolactin levels are decreased in the patient.

ACTH: The normal value 10-50 pg/ml. The ACTH levels are increased in the patient.

HGH: The normal value is less than 10ng/ml

LH: The LH is having the normal level is 5-20 mu/mL.

FSH: The FSH is having the normal value 6ml U/ml. The FSH level is decreased in the patient.

ADH: The normal value of ADH is 1-5pg/mL.

Parathyroid harmone: The normal value of PTH is 10-65 pg/mL.

Calcitonin: The normal value of calcitonin is less than 10pg/mL

Cortisol: The cortisol normal value is 10 - 20 microgram/d L.

The patient is having the decreased prolactin levels increased adrenocorticotropic harmone levels and decreased follicle stimulating harmone levels. These leads to hypogonadism gynacomastia leads to primary hypo-thyroidism

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