Question

A 36-year-old woman seeks medical advice because of graduatly increasing obesity, scant menses, and initability, with frequent episodes of weeping. Her obesity is most marked about the chest and abdomen. Her blood pressure is 180/95 mm Hg fasting blood glucose is 135mg/dl; serum potassium level is 3.4mEq/l; x-ray exams reveal osteoporosis.

a. At this point, proper medical management would indicate what laboratory workup?

Answer 1

A laboratory workup should be conducted to confirm a diagnosis and provide appropriate medical management for the patient's symptoms, which may indicate multiple endocrine neoplasia type 1 (MEN1) or Cushing's syndrome.

Step-by-step explanation:

Based on the symptoms described, including obesity, scant menses, irritability, and episodes of weeping, along with physical exam findings such as increased chest and abdominal fat and osteoporosis on x-ray, the patient may be experiencing multiple endocrine neoplasia type 1 (MEN1) or Cushing's syndrome. In order to confirm a diagnosis and provide appropriate medical management, a laboratory workup should be conducted. This workup may include tests such as hormone levels (including cortisol, adrenocorticotropic hormone, and thyroid-stimulating hormone), fasting blood glucose, serum potassium, and other relevant blood tests based on the suspected underlying cause.