A 28-year-old lady has put on weight (10 kg over a period of 3 years), and has oligomenorrhea! followed by amenorrhea for 8 months. The blood pressure Is 160/100 mm of Hg. Which of the following Is the most appropriate investigation ?
Scrum electrolytes
Plasma Coisol
Plasma testosterone and ultrasound evaluation of pelvis
T3,T4andTSH
In above case the paitent shows the symptoms of hypothyroidism and is in the most affecting age group of females . So a thyroid hormone assay is the most approrpiate investigation . Features of Hypothyroidism Ref - Davidson 23e p637
Endocrinology