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Case Presentation

Case Presentation. 48 yo Black female with well controlled HTN, h/o borderline hyperthyroidism No specific complaints or concerns Meds: HCTZ for BP control FHx remarkable for HTN, DM, no other endocrine D/O’s, no known AIDz SHx unremarkable. Case Presentation.

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Case Presentation

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  1. Case Presentation • 48 yo Black female with well controlled HTN, h/o borderline hyperthyroidism • No specific complaints or concerns • Meds: • HCTZ for BP control • FHx remarkable for HTN, DM, no other endocrine D/O’s, no known AIDz • SHx unremarkable

  2. Case Presentation • 48 yo Black female with well-controlled HTN, h/o borderline hyperthyroidism • ROS positive for low but normal appetite, no wgt loss, no signif fatigue • Pap UTD • No prior BMD study • Physical exam = nonobese female; no obvious features c/w hyperthyroid state

  3. LABS WBC 6.0, Hgb 12.4, Platelets 378 BMP unremarkable except for Ca 8.9 LFT’s wnl Fasting Lipid Profile Chol 173, HDL 45 TG 120, LDL 97 Serial thyroid testing 11/00 TSH – 0.15 3/01 TSH – 0.35 7/01 TSH – 0.22 9/02 TSH – 0.16 2/03 TFT’s TSH - 0.21 Total T4 - 8.4 T3RU – 37.2% FTI - 10 Case Presentation

  4. Clinical Question • Premenopausal female patient with hx of “borderline” hyperthyroidism, no obvious clinical signs nor subjective symptoms of thyroid hormone excess • What are the management options for this patient in your practice?

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