Amanda who is a student of Baldwin University College has developed following symptoms recently; Dry hair, weight gain, an odd butterfly shaped swelling across the front of her neck under her chin, she has also been feeling very tired and mentally “dull” lately. Amanda goes to the clinic and blood is drawn. The results show that her T4 levels are low and her TSH levels are low. Later she is given a TSH stimulation test in which TSH is injected and the T4 levels are monitored. After TSH injection, her T4 levels rise. (a) Does Amanda have problems with her pituitary or with her thyroid gland? (b) How did you come to your conclusion?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Amanda who is a student of Baldwin University College has developed following symptoms recently; Dry hair, weight gain, an odd butterfly shaped swelling across the front of her neck under her chin, she has also been feeling very tired and mentally “dull” lately. Amanda goes to the clinic and blood is drawn. The results show that her T4 levels are low and her TSH levels are low. Later she is given a TSH stimulation test in which TSH is injected and the T4 levels are monitored. After TSH injection, her T4 levels rise. (a) Does Amanda have problems with her pituitary or with her thyroid gland? (b) How did you come to your conclusion?
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