-50 year old man with neck mass- has hyperthyroidism -get an additional anti-thyroid antibody test and radio iodine uptake test -its graves disease with papillary carcinoma. -proptosis- the feeling of someone pushing your eyes out. -the 28 year old woman with tiredness and mental status change has the probable problem of hypothyroiism.-tendency to gain weight and there is a cold intolerance. -she has a low T3 resin uptake which means 6 year old boy with precocious puberty -primary problem is excess androgen production. The increased growth rate seen in this child could also arise from GH excess. -treat with hydrocortisone replacement therapy suppresses the pituitary output of ACTH, allowing the adrenal gland to decrease its metabolic output and normalizing the androgen synthesis rate. 27 year old women with depression and hirsutism- -it is cushings syndrome.
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