4. Shortly before her final examinations, a med lab student of Accra Technical University experienced sleep disturbance,

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4 Shortly Before Her Final Examinations A Med Lab Student Of Accra Technical University Experienced Sleep Disturbance 1 (58.54 KiB) Viewed 43 times

4. Shortly before her final examinations, a med lab student of Accra Technical University experienced sleep disturbance, tachycardia with palpitation and noticed that her hands were warm and sweaty. The University doctor was sure that her symptoms were due to anxiety, but was persuaded to take a blood sample for thyroid function test. Investigations Serum: TSH fT4 fT3 Comment on the above results. 5.2mU/L 34pmol/1 12.9pmol/1 5. A patient suffering from signs & symptoms consistent with Hashimoto's thyroiditis has blood samples taken for lab analysis. Which sets of TFTs results would be most consistent with this diagnosis? 6. A Lecturer of Accra Technical University was persuaded to seek medical advice because of his increasingly bizarre behavior. He had slowed up mentally, become indecisive and had given up his daily game of football, claiming he no longer had the energy to play. Whereas in the past he had annoyed his colleagues by opening windows even on cold days, he now no longer objected to them remaining closed. His appearance had changed, his skin appearing sallow and his hair coarse and lacking lustre. The university doctor suspected hypothyroidism and elicited a history of recent constipation in addition to the other typical features. Bradycardia was present, and when the peripheral reflexes were tested, slow quadriceps relaxation was noted. There was no goiter. Investigations Serum: TSH fT4 Comment on the above results: > 100mU/L 3.9pmol/1 7. A 55-year-old Senior Lecturer of Accra Technical University underwent the medical screening programme provided by the University. Various tests were performed, including assessment of thyroid function. Investigations Serum: TSH fT4 Comment on the above results: 8mU/L 12 pmol/1