Question

You are working in the clinical laboratory, and come across a sample from a diabetic female patient with the following results; TSH = 15.6 mU/L, freeT4 = 10.1 pmol/L, GH (random)= <0.02 ng/mL, Potassium= 6.3 mmol/L, Total Ca= 5.8 mg/dL, PTH= 2.15 pmol/L, BMI= 33, in the light of all endocrine topics we studied in this course, discuss ALL possible conditions she might suffer from and what OTHER laboratory results you might want to see?

** I need more detailed information.

Answer 1

The value of thyroid stimulating hormone is high

Even though this is high T4 value is low which means it is a chance of hypothyroidism with an etiological factors to the thyroid gland

GH is low in this patient which indicate disorder with the pituitary gland. Additional test on ADH , adrenocorticotropic hormone can be used

PTH value is low which also resulted in high pottasium level

Calcium value is low this is due to low level of. PTH and due to insufficient PTH

PTH is low indicated some malfunction of parathyroid hormone which should be treated promptly

BMI is obese