Case 1 Amanda H. a 32-year-old female presented a suble onset of the following s

Question

Case 1 Amanda H. a 32-year-old female presented a suble onset of the following symptoms: periorbital swelling: dry hair and scaly skin; inability to make decisions; lethargy, bradycardia(60 b/min), a blood pressure of 90/70; constipation, and hypothermia. The patient does not complain of pain. Plasma concentrations of total and free T4 and T3 (Thyroid hormone) were: T4 T3 0.14 ngdl Total Free0.6 ngdl 0.01 ngidi .A blood sample indicsed elevated TSH levels. A TSH stimulation test did not increase the output of thyroid hormones from the thyroid gland. A biopsy of A micrographs below.) 1. How do Amanda's levels of T3 and T4 compare to normal? 2. What do A her thyroid glands? 3. Whas is a palpable goiter and would you expect to find a palpable goiter in this case? Explain your answer 4. Name the endocrine disorder in this case. 5. Why does Amanda have a lower-than-normal body temperature? 6, Describe suitable treatment for Amanda.

Explanation / Answer

Ans-1 Amanda T3 and T4 levels are below the normal levels.

Ans-2 the elevated TSH indicate hyper activity of anterior pituitary gland and hypo activity of thyroid gland.

Ans-3 palpable goiter is a type of goiter which is caused by the abnormal function of thyroid gland. It is called palpable because it can be feel by palpation.

In this case there chances of palpable goiter.

Ans-4 in this case the name of disorder is hypothyroidism.

Ans-5 the temperature often goes down due to hypothyroidism it is reason behind Amanda low temperature.

Ans-6 she should be treated with the thyroid pills and goiter should be removed if present.

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