drpkaur
Forum Guru
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. A 36-year-old woman presents with muscle weakness and fatigue. She is not taking any medications. Physical examination shows dry, yellowish skin. Her pulse rate is 45/min and she has slow, shallow respirations. Laboratory studies reveal a serum sodium of 125 mEq/L and fasting serum glucose of 59 mg/dL. Her total serum cholesterol is 350 mg/dL. These findings are best explained by a deficiency in which of the following?
A. Aldosterone
B. Antidiuretic hormone (ADH)
C. Cortisol
D. Insulin
E. Tetraiodothyronine (T4)
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| Leopard
Forum Guru
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Hypothyroidism
T4 deficiency
Best of luck
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| MRMAVERICK
Forum Guru
Topics: 41
Posts: 729
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hypothyroidism
so e
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| Palaniappan
Forum Senior
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could u explain why answer can't be aldosterone?
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| fox
Forum Guru
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U cannot explain dec pulse rate/ hypoglycemia with def of aldosterone...thats why
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| Luckyall
Forum Guru
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agree with blueocean...definetelly adrenal crisis !!!!!!!!!
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| Luckyall
Forum Guru
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pardon me... addison disease ( chronic insuffic), not acute adrenal crisis...
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| blueocean
Forum Senior
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I guess is C - http://www.emedicine.com/med/topic65.htm
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| klimt
Forum Guru
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I go with C too
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| mediocre
Forum Elite
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How do ya guys explain Incrsd total cholesterol with cotisol def
I think its T4,
Lipid metabolism: Increased thyroid hormone levels stimulate fat mobilization, leading to increased concentrations of fatty acids in plasma. They also enhance oxidation of fatty acids in many tissues. Finally, plasma concentrations of cholesterol and triglycerides are inversely correlated with thyroid hormone levels - one diagnostic indiction of hypothyroidism is increased blood cholesterol concentration
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| drpkaur
Forum Guru
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Guys it 's T4....................
good going mediocre..
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| smal
Forum Guru
Topics: 140
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nice qt.
didnt remember adrenal crisis
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remedy for weakness is not brooding over it ,but thinking of strength.
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| ManuNastai
Transilvanian..
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agree with T4, but could anyone explain why is Na+ decreased?
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| ashfaque
Forum Newbie
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Posts: 142
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answer E ,female sex dry yellow skin brady cardia hypercholestrolemiaall favours hypothyroism. But question of hyponatreimia is raised by Manunastai answer is given in Pravin Kumar (text book of medicine) in hypothyroidism which says Hyponatremia is a feature of hypothyroidism due to increase in ADH
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