Endocrinology Case 2

Expanded Case Evaluation
Assessment & Follow-up Plans

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A. Expanded Database - Diagnostic Test Results

1 Test / Procedure: Trichogram
          Results:

The majority of roots are "club" shaped and hyperkeratotic.

Review indications & protocol in notes.

What is your assessment?

2 Test / Procedure: Skin Scraping
          Results:

Negative

Review indications & protocol in notes.

What is your assessment?

3 Test / Procedure: ECG
          Results:

Marked bradycardia. Prolonged PR interval.

Review indications & protocol in notes.

What is your assessment?

4 Test / Procedure: Thyroid Profile
          Results:

Total T4: 3 (5-22 ng/ml; fT4: 0.2 (0.5-3.0 ng/ml); cTSH: 1.2 ng/ml (0-0.6 ng/ml)

Review indications & protocol in notes.

What is your assessment?

B. Final Diagnosis

C. Therapeutic Plan

D. Review Questions: Click here for the review questions. odie.gif (12220 bytes)

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After class review, access will be provided to the Expert's Answers.

To view other manifestations of hypothyroidism, click on the image at right.  En2-link.jpg (20519 bytes)

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