Anatomy & Physiology Help
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Sorry to be posting here, but you all are the ones that can help me! I am stuck on the following case study:
30-year-old female demonstrated a subtle onset of the following symptoms: dull facial expression; droopy eyelids; puffiness of the face and periorbital swelling; sporifice, dry hair; dry, scaly skin; evidence of intellectual impairment; lethargy; a change of personality; bradycardia (60 b/min); a blood pressure of 90/70; anemia (hematocrit 27); enlarged heart (upon radiological exam); constipation, and hypothermia. Plasma concentrations of total and free T3 and T4 were as follows:
T4 T3
total 3.0 ug/dL 0.14 ng/dL
free 0.6 ng/dL 0.01 ng/dL
Radioimmunoassay (RIA) of peripheral blood indicated elevated TSH levels. A TSH stimulation test did not increase the output of thyroid hormones from the thyroid gland.
I cannot figure out this woman's diagnosis! Any information or hints would be appreciated!