Monday, May 9, 2016

Thyroid Function Test, Case Analysis


CASE ANALYSIS 4

      AN APPARENTLY HEALTHY 33 YR-OLD WOMAN UNDERGOES THYROID TESTING WITH THE FOLLOWING RESULTS:  FT4 = 1.2 ng/dL, s-TSH = 15 uU/mL.  NO GOITER OR ANY OTHER ABNORMALITY IS NOTED.  THE PHYSICIAN IS CONCERNED, BUT DECIDES TO FOLLOW THE PATIENT FOR EVERY SIX MONTHS.  SIX MONTHS LATER THE PATIENT’S FT4= 1.1 ng/dL, s –TSH = 25 uU/mL.

QUESTIONS

      1.  WHAT CLINICAL STATE IS THE PATIENT APPARENTLY EXHIBITING? DEFEND YOUR ANSWER?

      2.  WHY IS THERE CONCERN OVER THESE RESULTS?

      3.  WHY WOULD MOST LABORATORY THYROID TESTS NOT BE USEFUL IN THIS CASE?

      4.  WHAT LABORATORY TEST WOULD BE USEFUL? WHY?

CHECK ANSWERS HERE

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