A patient presents to his doctors complaining of lethargy, w…

A patient presents to his doctors complaining of lethargy, weight gain, and mental sluggishness. The doctor detects a slight bulge near the patient’s larynx.  A thyroid panel is ordered, the results are shown below. TSH          5.5  (normal/high) T4              3.9 (low) Free T4   0.4 (low) T3              58 (low) What is your diagnosis of this patient? What gland is malfunctioning? Describe how you came to this conclusion. Be as specific as possible in your diagnosis.

A middle-aged man is brought to the emergency room unconscio…

A middle-aged man is brought to the emergency room unconscious.  His wife says that he has “been eating, drinking, and peeing like crazy.”   Blood is drawn and urine tested, the labs come back as follows: Blood glucose 664 (high) Blood insulin 28 (high) Glucose present in urine What is your diagnosis?  Be as specific as possible on the diagnosis and describe how you came to this conclusion.   **For some bonus, describe why blood glucose levels elevate so quickly to cause diabetic shock.  What is happening in the body to cause this even when patients are not taking in more sugars?