Chat with us, powered by LiveChat You are taking care of a 46 year old routine post-hysterectomy patient, and you have just reviewed some very interesting lab work on her. ?Here it is: – Serum sodium high (hypernatremia) – Urine sodi… | paledu.org
  
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You are taking care of a 46 year old routine post-hysterectomy…

You are taking care of a 46 year old routine post-hysterectomy patient, and you have just reviewed some very interesting lab work on her.  Here it is:

– Serum sodium high (hypernatremia)

– Urine sodium low
 

Fill in the table below to answer this question.  What are the differences (if any) between the following two conditions (what you would see for each — fill in table below)?

 

A).  A tumor in the hypothalamus suppresses ALLhormones/factors released from the hypothalamus.

 

B).  A tumor pressing on the entire pituitary gland which suppresses ALL hormones coming from the entire pituitary gland (anterior and posterior glands) but the hypothalamus functions fine.

 

 

List below what this means for each of the following (would they be normal, elevated, or decreased) and what symptoms you might expect to see for each:

 

 

 

 

Lab:

Increased, Decreased, or Normal?

 

 

What symptoms?

Condition A T3, T4    
  TSH    
  TRH    
  Cortisol, aldosterone, androgens

 

 

 

 

  ACTH    
  CRH    
  ADH    
       
Condition B T3, T4    
  TSH    
  TRH    
  Cortisol, aldosterone, androgens

 

 

 

 

  ACTH    
  CRH    
  ADH