VILMA, a 46-year-old woman, was admitted to the Female Ward with recurring diarrhea. She had three full-term pregnancies in the past, but after her third, she developed post-partum hemorrhage, for which she was treated. As a result, she experienced lactation failure, amenorrhea, fatigue, weight loss, weakness, and hypothyroidism symptoms.
Physical examination revealed that she is thin-built (BMI=17 kg/m2), that her pulse is regular at 86 beats per minute, and that her blood pressure is 90/50 mmHg. The pubic and axillary hair were sparse, but the external genitalia were normal.
Question: Correlate the results of the laboratory tests to the patient’s symptoms.What other laboratory tests are needed for this case?
Extracted text: Laboratory Investigation Laboratory Test T3 (ug/dL) T4 (ug/dL) TSH (pIU/mL) Cortisol (ug/24H) АСTH (pg/mL) Hemoglobin (mg/dL) Random sugar (mg/dL) Patient's Value Normal Values 72 77-135 5.0 5.4-11.7 0.2 0.34-4.25 15 20-70 3 6-76 10-15 110 120-180