Question 91 · LEK · Hypothyroidism

A 58-year-old woman came to the family doctor office and complains of constant fatigue, weakness, sleepiness, feeling cold and constipation. The symptoms last for about 3 months. She gained 6 kg in 2 months in spite of a stable diet. The physical examination revealed dry, rough skin and swollen lower eyelids. The blood pressure was 110/60 mmHg, the heart rate was regular, 58/min, with quiet normal heart sounds. The respiratory sounds were normal bilaterally. No other abnormalities were noted. The most probable diagnosis is:

  1. A. depressive disorder.
  2. B. glomerulonephritis.
  3. C. hypothyroidism.
  4. D. irritable bowel syndrome.
  5. E. iron deficiency anemia.
Hint

Combine cold intolerance, weight gain, constipation, bradycardia, dry skin and puffy eyelids into one endocrine picture.

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