A 30 year old female visited her physician complaining of fatigue, weight gain,
ID: 3514250 • Letter: A
Question
A 30 year old female visited her physician complaining of fatigue, weight gain, diffuse alopecia, hearing impairment, "chills", and an inability to concentrate. The patient had recently left her job as an aerobics instructor due severe muscle cramping upon exercise and shortness of breath. The physician noted a heart rate of 50 beats per minute. The following laboratory tests were conducted (Normal values are in parentheses.): Blood tests: Free thyroxine 0.6 ng/dL (0.8 to 2.0) TSH 1.88 mU/ml (0.4 to 4.0) FSH 3.1 mU/ml (1.9 to 10.0) Prolactin 42.3 ng/ml (3 to 20) Cholesterol 198 mg/dL (140 to 199) Glucose 75 mg/dL (70 to 105) Erythrocytes 4.3 million/mm3 (3.8 to 5.1 million) Mean (average) cell hemoglobin conc. 30.7% (33.0 to 37.0%) Urine test: Free cortisol in 24 hour urine 29 mg/day (10 to 50 mg/day) Question 2. What is the significance of the elevated prolactin?
Explanation / Answer
Answer:- patient suffering from Hypocalcaemia.
Due to low blood calcium level causes deficiency of vit D parallel rise in prolactin level to overcome the effects.
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