new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
|
A 70 year old male was receiving Amiodarone 200 mg daily for intermittent atrial fibrillation. However, he was aware of tiredness and lethargy. He appeared clinically euthyroid with no palpable goiter.
Investigations revealed:
Serum free T4 23pmol/L (9-26)
Serum total T3 0.8 nmol/L (0.9-2.8)
Serum TSH 8.2 mU/L (<5)
Which of the following statements would explain these results?
1) Abnormal thyroxine binding globulin
2) Amiodarone-induced hypothyroidism
3) 'Sick Euthyroid' syndrome
4) Spontaneous hypothyroidism
5) TSH secreting pituitary adenoma
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| mytime
Kick my butt!
Topics: 39
Posts: 3,173
|
2
|
| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
|
Anyone Else Guys !!!!!!!!!!!! Ah Cmon ppl show Some Guts
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| Addicudo
Forum Guru
Topics: 124
Posts: 608
|
3) 'Sick Euthyroid' syndrome Cannot be 1) Abnorma thyroxine binding gloobulin total T3 which includes the bound form is less . 2) Amidorone induced .. aint sure 4) Spontaneous Hypothyroid - Cud be ... but T4 are higher 5) NOt a pit secreting Tumour definitely .. or is it 
___________________
... Idle hands are the DeVilS play ground ...
|
| rock
Forum Elite
Topics: 23
Posts: 305
|
3-sick euthyroid syndrome
|
| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
|
2) Amiodarone-induced hypothyroidism
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| monam84
Forum Senior
Topics: 35
Posts: 135
|
Is it because Amiodorone mimics thyroid hormone so its acts to inhibit TSH?
|
| silver
Forum Guru
Topics: 21
Posts: 774
|
amiodarone impairs T4 to T3 conversion
___________________
Every disaster hides an opportunity.
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
 amiodarone induced hypo TH
|
|
| |
| | | | | | | | | |
