usmle6789
Forum Senior
Topics: 33
Posts: 49
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76 yr old man had fatigue and loss of interest in daily activities over the past 4 months. He sleeps poorly and had a 4.5 kg[10 lb] weight loss during this period. He states that he has probably lived long enough. Bp 110/78, pulse 68. examination shows a slow return of deep tendon reflexes. Measurement of which of the following is the most appropriate next step in management?
1] ca+2
2] Creatinine
3] Glucose
4] Testosterone
5] TSH
My answer is 5. Is it hypothyroidism?
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| sanz
Forum Elite
Topics: 14
Posts: 154
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Fatigue, loss of interest, insomnia and slow return of DTR are seen in hypothyroidism... so i would go for TSH measurement.
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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The right answer seems 5. hypothyroidism.
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