Question: Michelle Lawrence, A 32-year-old Office Assistant, Came To The Family Physician’s Office Where You Currently Shadow. She Complained About Feeling Cold All The Time, Feels Sluggish, And Gaining Weight. She Also Has Been Trying To Conceive With Her Husband, Who Has Two Sons From His Previous Marriage, For 2 Years. Michelle Also Confesses To Having Irregular …

Michelle Lawrence, a 32-year-old office assistant, came to the family physician’s office where you currently shadow. She complained about feeling cold all the time, feels sluggish, and gaining weight. She also has been trying to conceive with her husband, who has two sons from his previous marriage, for 2 years. Michelle also confesses to having irregular menses. The physician- in-charge asks you to examine Mrs. Michelle under supervision. 1. What would you want to look out for during this examination? 2. What do you think is the cause of these symptoms? 3. Name the two subdivision of the hormone responsible for these symptoms and state the difference between them. 4. What tests would you order for to make your diagnosis?