History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Differential Diagnoses
Relevant Testing
Test Results 1
Test Interpretation
Diagnosis 1
Relevant Next Steps
Test Results 2
Diagnosis 2
Treatment Orders
Question 1
Question 2
Question 3
Question 4
About the Case
Chronic lethargy in a 68 yo woman
Test Results 1
Results of appropriate testing return and show the following:
Serum:
Test (units)
Result
Results (SI Units)
Thyroid-stimulating hormone (TSH)
88 microIU/mL
88 mIU/L
Thyroxine, Free (T
4
)
0.4 ng/dL
5.15 pmol/L
Triiodothyronine, free (T
3
)
0.8 pg/mL
1.2 pmol/L
Sodium
135 mEq/L
135 mmol/L
Potassium
4.3 mEq/L
4.3 mmol/L
Urea nitrogen (BUN)
8 mg/dL
2.9 mmol/L
Creatinine
0.9 mg/dL
80 micromol/L
Blood:
Test (units)
Result
Results (SI Units)
Hemoglobin
9.8 g/dL
98 g/L
Leukocytes
6,700/mcL
6.7 x 109/L
Platelets
159,000/mcL
159 x 109/L
Mean corpuscular volume (MCV)
88 fL
N/A
Mean corpuscular hemoglobin concentration (MCHC)
34 g/dL
340 g/L
Chest x-ray: Small volume fluid in the right interlobar fissure, mild bibasilar atelectasis, enlarged heart size.
Head CT: Normal
Next