Hemochromatosis Quiz: Ace Your Exams

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A 45-year-old man comes to his primary care PA for evaluation of fatigue which began six months ago. He has felt more tired than usual and has had decreased libido over the same time period. The patient attributes these symptoms to recent stress at work as an attorney. Past medical history is noncontributory and he does not drink alcohol or smoke cigarettes. Temperature is 36.5°C (97.7°F), pulse is 60/min, respirations are 14/min, and blood pressure is 130/82 mm Hg. Physical examination shows diffuse hyperpigmentation of the skin. The liver is palpated 4 cm below the right costal margin. Mild testicular atrophy is noted. Laboratory testing reveals the following results:  

Laboratory value  
Result
Sodium
136 mEq/L (reference range: 136-146 mEq/L)  
Potassium
4.2 mEq/L (reference range: 3.5-5 mEq/L)  
Chloride
95 mEq/L (reference range: 95-105 mEq/L)  
Glucose
154 mg/dL (reference range: (70-110 mg/dL)  
TSH
5.3 µU/mL (reference range: 0.5-5 µU/mL)  

If untreated, this patient’s condition would most likely give rise to which of the following findings?  

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