A 23-year-old woman is admitted to the Casualty department from her office, for the third time in the space of 2 months, after having suffered a syncopal attack. On questioning she admits to feeling very tired over the past few months and being dizzy on a number of occasions. On examination she looked slim and tanned, her blood pressure was 110/70 mmHg lying, but dropped to 85/65 mmHg on standing. ACTH is markedly raised, free thyroxine is below the lower limit of normal and cortisol is low. Which diagnosis fits best with the clinical picture? 1- Hypothyroidism 2- Primary hypoadrenalism 3- Psychiatric symptoms 4- Hypovolaemia 5- HIV
Posted on: Thu, 13 Mar 2014 02:38:24 +0000
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