Laboratory Values (endocrine) | Figure 1
Laboratory Values (endocrine)
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25 y/o male; pmhx hypothyroidism (unknown etiology). Presenting with frequent hot flashes, new/persistent acne breakout on back, stated inability for past thyroid levels to be regulated.
- Free Testosterone: 19.2
- Total testosterone: 69.7
- Antithyroid Perot Ab: <10
- TSH: .03 mIU/L
- Free serum T4: 1.61ng/dL
- Free serum T3: 3.5 pg/mL
- Serum DHEA Sulfate: 171 ug/dL
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10 y female infant with delayed growth on growth curve : serum creatinine 0.4 : hgb 11.9 : ca ionized 1.21 : ca total 9.2 : total t4 9.2 : total t3 13 growth h 0.12 tsh 1.7 what is the cause of delayed growth .. what is the bone age of pt .. what is the line of TT ??
Severe Diabetic #Ketoacidosis. Serum glucose was around 400 mg/dL. Surprisingly, the patient had a GCS of 15 despite the findings on the ABG.
Female 39 ys old hypothyroid post total thyroidectomy due to grave's disease in levothyroxine 150microne + liothronine 10 micrograms with history of adrenal suppression due to steroid therapy to facial palsy due to congenital cholesteatoma improved after being operated now she has 2nd attack of adrenal crisis 1st one 12 ms ago respond to fludrocortisone 0.1 mg once and stayed free of ttt with complete control 6 ms . Now she developed 2nd attack more worse not respond well to fludrocortisone 0.1 titrate to 0.2 after lab showed deterioration
Lab at diagnosis:
- TSH 0.2
- Free T4 1.5
- Na 132
- K 5.8
After 0.1 mg fludrocortisone: - Na 133
- K 6.5
- And decrease the levothyroxine to 125 micrograms cause liothyronine this is the lowest dose reliefs the clinical symptoms
- What is the next to do?
47 years old male with recent parathyroidectomy, presented to ER with complaints of perioral numbness, tingling and muscle spasms. On examination positive trousseau sign. On investigations, Serum calcium 4.59 mg/dL.
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A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.
patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?