zaki
Forum Guru
Topics: 92
Posts: 398
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A 60-year-old man presents in your office with failure to thrive. He has lost 2.27 kg (5 lb), has a poor appetite, lethargy, hair loss, constipation, and sensitivity to the cold. His blood pressure is 100/80 mm Hg lying down and 80/60 mm Hg standing. You find it difficult to palpate his thyroid gland. His stool is negative for occult blood. His deep tendon reflexes have a delayed relaxation phase.
Laboratory studies:
Hematocrit
36%
Serum T4
1.0 µg/dL
Free T4 index
1.0
Serum thyrotropin (TSH)
6.5 µU/mL
What is the most likely diagnosis?
(A) Hashimoto’s thyroiditis
(B) Addison’s disease
(C) Autonomic insufficiency
(D) Craniopharyngioma
(E) Euthyroid sick syndrome
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Maverick
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| alice8
Forum Guru
Topics: 37
Posts: 643
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(B) Addison’s disease :?:
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| destiny
Forum Senior
Topics: 35
Posts: 38
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Hashimoto's thyroditis
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| dpk
Forum Junior
Topics: 10
Posts: 66
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i too go with addison's ds..
anyone with any explanation for any other answer
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| dimps
Forum Guru
Topics: 63
Posts: 446
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it should be A --hashimotos thyroiditis
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| daira
Forum Senior
Topics: 29
Posts: 138
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I think its D-Craniopharyngioma :arrow: hypopitutrism
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| dimps
Forum Guru
Topics: 63
Posts: 446
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zaki ,what 's the answer
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