What endocrine gland do you suspect might be implicated


Problem

Jane, a 32-year-old woman, has been a patient of vours since moving to Calgary six years ago. Since giving birth to her first child, now 8 months of age, Jane has suffered from debilitating headaches for which you have found no explanation. During a recent check-up, Jane mentions that she has missed a number of menstrual periods over the past eight months; she assures you there is no chance she could be pregnant again, and tests confirm that. You ask Jane if she has been experiencing any other unusual symptoms. Other than fatigue, which is normal for any new mom, she can think of nothing.

However, you notice that her hands and feet appear somewhat enlarged, and her facial features seem slightly different than before the pregnancy. Again, this could be attributed to fatigue, but you decide to run some tests to rule out anvthing more serious

What endocrine gland do you suspect might be implicated in Jane's symptoms? Explain your reasoning.

a) List the hormone(s) produced by this gland.

b) You can confirm your suspicions by testing the levels of ONE of these hormones. Which hormone will you test? Explain your reasoning.

c) The tests come back positive, indicating a higher-than normal level of the hormone you chose to test. What is your final diagnosis?

d) How would you treat Jane's symptoms?

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