Q@Q---timed-1? - cardio69

[ArchivalUser]

A 14 y/o F present to you with complains of fast heart rate and believes the feeling start after her first relationship. She denies any sexual relationship pre/syncope, chest pain. Vital sign: BP: 110/70, HR 110/min, and BMI 16. A faint systolic ejection murmur is heard.

MOST appropriate u order?

a)Serum cortisol
b)Hb A1c
c)Chromosome panel
d)Thyroid stimulating hormone
e)Electrolyte panel


Like always 1min 18sec.

[ArchivalUser]

ddddd

[ArchivalUser]

Dd

[ArchivalUser]

Late

[ArchivalUser]

why D

[ArchivalUser]

no explanation=guessing

[ArchivalUser]

DD

[ArchivalUser]

tachycardia- caused by high levels of T3 (direct action on myocytes).Plus low BMI.Answer D.

Option-E.)- possibly if Pt had large diuresis and fluid loos (diuretics),but the BP looks OK for this option.

[ArchivalUser]

RT.
*D*

Ten pat with sinus tachy
You always consider;
-HypErthyroidism
-Pheochrom
-Autonomic dysfunction
-Substance abuse
-Tachyarrhythmia


please and Q on time matter.