Hypopituitarism Quiz: Ace Your Exams
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A 53-year-old man comes to the clinic for a routine visit. He does not have any active complaints but does report approximately 9.1-kg (20-lbs) of unintentional weight gain over the last few months. Review of systems is significant for loss of libido which he attributes to increasing “tiredness” for the past 2 years. Past medical history is significant for non-specific arthritis, for which he takes ibuprofen as needed. He spent a week in India 3 months ago for a business trip. Temperature is 36.5°C (97.7°F), pulse is 54/min, respirations are 12/min and blood pressure is 110/82 mm Hg. On physical examination, the liver is palpated 3 cm below the costal margin. Laboratory studies show the following:
A biopsy specimen of this patient’s pituitary gland would likely show which of the following?
| Laboratory value | Result |
| Serum chemistry | |
| Sodium | 132 mEq/L |
| Potassium | 4.2 mEq/L |
| Chloride | 95 mEq/L |
| Glucose | 211 mg/dL |
| Thyroid stimulating hormone (TSH) | 13.2 uU/mL |
| AST | 94 U/L |
| ALT | 115 U/L |
A biopsy specimen of this patient’s pituitary gland would likely show which of the following?
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