Case 1

A male patient enters your office. He is in his mid-30s and in decent physical shape. He complains about being tired and seems to be gaining some weight, while not eating more than normal. He also describes being cold all the time. You decide to perform a blood test and receive the following results.

Table 2: Patient 1 Values
Hormone Values
TSH 0.04 mIU/L
Prolactin 18 ng/mL
ACTH 57 pg/mL
ADH 0.9 pg/mL
Calcitonin 4 pg/mL
Cortisol 21 µg/dL

After reviewing his results, you come to a conclusion. What might be wrong with this patient and how does this diagnosis correlate with the symptoms presented by the patient?

Case 2

A 46-year-old female patient checks into the office. She has broken bones several times over the last couple of months, yet she maintains a lifestyle which does not include strenuous activities that could lead to these types of injuries. You perform some blood tests and receive the following results.

Table 3: Patient 2 Values
Hormone Values
TSH 3.0 mIU/L
Prolactin 15 ng/mL
ACTH 42 pg/mL
HGH 0.01 ng/mL
LH 5.6 IU/L
FSH 7.3 mIU/mL
ADH 4 pg/mL
Parathyroid hormone 97 pg/mL
Calcitonin <1 pg/mL
Cortisol 21 µg/dL

After reviewing her results, you come to a conclusion. What might be wrong with this patient and how does this diagnosis correlate with the symptoms presented by the patient?

Case 3

A 24-year-old female patient enters the office. She has low blood glucose levels. A urine test also indicates very low levels of minerals in her urine. She has an infrequent and light menstrual period. You perform a blood test and receive the following results.

Table 4: Patient 3 Values
Hormone Values
TSH 3.6 mIU/L
Prolactin 12 ng/mL
ACTH 98 pg/mL
HGH 4.0 ng/mL
LH 6.6 IU/L
FSH 3.5 mIU/mL
ADH 4 pg/mL
Parathyroid hormone 47 pg/mL
Calcitonin 8 pg/mL
Cortisol 19 µg/dL

After reviewing her results, you come to a conclusion. What might be wrong with this patient and how does this diagnosis correlate with the symptoms presented by the patient?

Case 4

A 42-year-old male patient checks into the office. He presents with slow tissue regeneration after receiving a cut, and his bones are slow to mend. He is concerned and thinks that his relocation to North Carolina might be a contributing factor. You perform a blood test and receive the following results.

Table 5: Patient 4 Values
Hormone Values
TSH 3.0 mIU/L
Prolactin 4 ng/mL
ACTH 38 pg/mL
HGH 0.02 ng/mL
LH 1.9 IU/L
FSH 5.2 mIU/mL
ADH 3 pg/mL
Parathyroid hormone 17 pg/mL
Calcitonin 7 pg/mL
Cortisol 20 µg/dL

After reviewing his results, you come to a conclusion. What might be wrong with this patient and how does this diagnosis correlate with the symptoms presented by the patient?

Determining hormonal imbalance

Case 5

A 38-year-old male patient enters the office complaining about muscle twitches and feeling on edge. His pupils are dilated, and he notes an increase in body temperature. What hormone could be outside normal values and why?

Case 6

A 12-year-old boy notices several changes occurring in his body. Hair is starting to grow in places it did not grow before, his voice is changing, and he has recently undergone several growth spurts. What is the most likely explanation for these symptoms and which hormone is involved?

Case 7

After eating cotton candy at a fair, which hormone will increase and why?

Case 8

A patient notices an increase in fluid loss and a general feeling of unease. After performing a blood test, you note that the patient has low fluid volume and low levels of electrolytes. Which hormone might be responsible for these symptoms?

Case 9

A 48-year-old female patient enters the office and complains about being unable to sleep at night, while starting to fall asleep right at daybreak. Which hormone might be responsible for these symptoms?

Case 10

A 14-year-old female patient enters the office and complains about frequent urination. She is also thirsty and has some sleep issues. These symptoms make her feel nervous and on edge. Blood glucose level in this patient is normal. Which hormone might be involved and why?