SOLVED1392

23-year-old college student goes to her doctor complaining of headache, fatigue, weight gain and a nagging cough. She is normally very active, competing in volleyball, soccer and rugby. She is achy and always feels like she has a chill. She says she has been trying to lose the weight by exercising more and eating less food, but it does not seems to be helping. She can hardly drag herself out of bed and her hands and joints are swollen. After checking for joint damage (there is none) her doctor sends her along to an endocrinologist who orders a series of tests and gets the following results. Glucose tolerance test After ingestion of 100 g of glucose serum levels fasting baseline 80 mg/dl 30 min 140 mg/dl 1 hour 150 mg/dl 2 hours 115 mg/dl Serum insulin 15µU /ml Urine ketosteroids 10 mg/24 hours Serum K 4.2 mEq/L Serum Na 140 mEq/L Plasma cortisol 10 µg/dl Serum PTH -N 16 pg/ml Serum PTH-C 300 pg/ml Growth hormone 8 ng/ml Plasma ACTH 30 pg/ml Serum TSH 15 µU/ml Free serum T4 0.05 ng/dl Plasma calcitonin 18 pg/ml
SCIENCE
HEALTH SCIENCE
NURSING

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