Case 1

Mrs. A is a 28-year-old woman married to her new husband forthree years already. She’s eager to have a baby already. She has 4children with the first marriage. History reveals that she’d beenhaving infections in her reproductive system in her previousmarriage. She has regular menstruation with three days duration ofmoderate to heavy flow. There are no accompanying manifestations.She likewise had been infected with sexually transmitted diseasesince her previous husband was unfaithful to her for several times.She was given injections to treat her. So Since then she hadregular follow-up with her physician who is a gynecologist. Afterher second marriage, work-up was done on her husband, which turnedout to be normal. She likewise has undergone procedures todetermine the patency of her tubes. She was told that that hertubes got inflamed which scarred blocking the tubes.

1.. Why should the client undergo the procedure todetermine the patency of the tubes?

2. What histological features could have been affectedby the inflammation in the previous years?

3. Why is Mrs. A based on the history and yourassumptions, cannot or has difficulty of bearing a child based onher history?4. Aside from the inflammation of the tubes, whatpossible problem can arise that will make Mrs. A risks herlife?

4. Why?

Case 2:

1. Interpret the following results of a 53-year-oldwoman who complained of

memory loss: the serum T4 concentration is 3.8 ug/dl(n=4.5-12.5), the serum

TSH is 23.0 uU/ml (n=0.2-3.5), and the serum cholesterolis 255 mg/dl (n<200). Is

this hyperthyroidism or hypothyroidism? Explain youranswer.