Use this scenario for the next three question. Presentati…
Use this scenario for the next three question. Presentation A 25-year-old woman, Laila, presented to her clinic with headache and pain in the knees, ankles and feet. Her a pain has been getting worse over that last two years. She has never had a menstrual period. Her exam results are as follows: Height is 7’3’’, Weight is 138 kg with a BMI of 28 Blood pressure 148/ 69 mmHg Pulse is 70 bpm Respiratory rate 12/min She has “course” facial features with a prominent jaw and forehead. She has large hands and feet for a person of her age and is experiencing some curvature of the spine. Blood Measurement from serum plasma Result Normal Range Sodium 141 mmol/L 135-146 mmol/L Potassium 3.8 mmol/L 3.5-5.0 mmol/L Chloride 113 mmol/L 97-110 mmol/L pH 7.41 7.36 – 7.44 Calcium (total) 9.9 mg/dL 9.0-10.5 mg/dL Parathyroid hormone 15 pg/mL 10-75 pg/mL Glucose (fasting) 226 mg/dL 70-110 mg/dL Prolactin 174 ng/mL 1.4-24.2 ng/mL FSH, LH, estrogen So low, hard to measure Cortisol, Thyroid, PTH panels Normal Growth Hormone >40ng/mL 2-10 ng/mL Liver and renal tests Normal Imaging: A CT scan showed a large adenoma tumor in the pituitary. Based on Laila’s plasma hormone levels, how will the secretion of this patient’s hypothalamic hormones be changed?
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