Journal #5648
Posted 15 years ago2009-02-26 13:51:58 UTC
You are evaluating a 15-year-old girl who complains of malaise, fatigue, and occasional abdominal discomfort. You diagnosed hypothyroidism due to chronic lymphocytic thyroiditis (Hashimoto thyroiditis) 6 years ago. She has normal serum immunoglobulin A concentrations. A tissue transglutaminase antibody study was negative 1 month before this visit, and free thyroxine and thyroid-stimulating hormone (TSH) values were normal at that time. She has normal menses. She reports that she has been eating poorly and has lost 5 lb since you saw her at the beginning of the summer, but she obviously has had a good summer and has a tan.
Of the following, the MOST important laboratory studies to obtain at this time are
complete blood count and erythrocyte sedimentation rate
duodenal biopsy for cryptic celiac disease
measurement of cortisol and adrenocorticotropic hormone (ACTH)
measurement of free thyroxine and TSH
mononucleosis spot test and liver function study
Of the following, the MOST important laboratory studies to obtain at this time are
complete blood count and erythrocyte sedimentation rate
duodenal biopsy for cryptic celiac disease
measurement of cortisol and adrenocorticotropic hormone (ACTH)
measurement of free thyroxine and TSH
mononucleosis spot test and liver function study
19 Comments
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Measurement of Cortisol and Adrenocorticotropic Hormone (ACTH)
Me thinks this one.
In a teenage girl, always do a pregnancy test.
a) Stabilize the colon/rectal effluvium
b) Stabilize the curtains and carpet
c) Ask her if she'd like some tea
d) Call the fire department
e) act as if everything is normal
f) feed her to GLaDOS
I would say:
measurement of free thyroxine and TSH
,cause i'm studying to be a nurse and i hope im right lol
Must be some medical joke. ha ha ha, good joke guys (?)
I would fail worse at being a doctor than I do on my Geometry tests.
measurement of cortisol and adrenocorticotropic hormone (ACTH)
Than "tan" is the giveaway. Elevated ACTH causes excessive melanine production, causing a "fake" tan.
This patient has Addison's disease. JFK also had this disease. That's why he looked so tanned all the time.
Although all this mumbo jumbo in latin highly confuses me. I keep reading penis and anus.