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39yrs female C/O fatigue - rammar
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02-17-2008, 06:45 PM
39yrs female C/O fatigue, amenorrhea, intolerance to cold. History of constipation. P/E puffy eyes, dry skin, diffuse alopecia. Next step?
A. Prolactin level. B. B-hCG C. TSH D. FSH
02-17-2008, 06:54 PM
Sorry! I answered TSH too.
The right answer is B-hCG.. First step is to role out pregnancy in a childbearing age women presenting with amenorrhea. Silly isn™t it?!
02-17-2008, 07:12 PM
I'm sorry I got it from a web site but I don™t remember which.
02-17-2008, 07:16 PM
you r right , what ever is the cause of ammenorhea, first test is to r/o pregnancy . that make sense .
02-17-2008, 07:26 PM
any sec. amenorrhoea inv in order
1]b-hcg 2]tsh levels 3]prolactin levels 4]pregesterone challenge test 5]e-p challenge test PERIOD |
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