36 Year Old Woman With Thyroid Disorder
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36 Year Old Woman With Thyroid Disorder
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A 36 year old woman presents with a three month history of unintended weight loss, sensation of increased anxiety, heat intolerance, and reports, "I feel like my heart is going to beat right out of my chest." In addition, she reports a two-month history of increased frequency and looseness of stools. Physical exam reveals 3-4 plus Achilles and patella reflex response, mild exophthalmosis, bilateral fine tremor, and a diffusely enlarged non-tender thyroid. Heart rate 115 beats per minute at rest without murmur or other cardiac abnormalities.
Considering thyroid disorder as her working diagnosis, which of the following would be her anticipated lab results?
A. Elevated TSH with normal limit free T4
B. Low TSH with elevated free T4
C. Elevated TSH with a low free T4
D. Normal limit TSH
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