Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 7, Number 6, June 2016, pages 234-238


Excessive Uterine Bleeding in a Non-Compliant Patient With Profound Hypothyroidism: A Case Report and Review of the Literatures

Figure

Figure 1.
Figure 1. Changes in hemoglobulin (HgB) and red blood cells (RBC) before and after blood transfusion (given on Day 0).

Tables

Table 1. Complete Blood Count
 
Day -4Day 0Day 1UnitsReference range
WBC: white blood cell; RBC: red blood cell; HgB: hemoglobulin; HCT: hematocrit; PLT: platelet; RDW: red cell distribution width; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; MPV: mean platelet volume.
WBC3.94.75.9103/µL4.0 - 12.0
RBC3.412.573.49106/µL4.2 - 5.4
HgB9.27.010.0g/dL12.0 - 16.0
HCT27.320.028.4%37 - 47
PLT150.0145129103/µL130 - 450
RDW21.822.019.3%11.5 - 14.5
MCV80.077.781.4fL81 - 99
MCH26.927.328.7pg27 - 33
MCHC33.735.235.3g/dL32 - 37
MPV8.28.18.2fL6 - 11.1

 

Table 2. Hormone Levels
 
ResultUnitsReference range
TSH: thyrotropin-stimulating hormone; LH: luteinizing hormone; FSH: follicular stimulating hormone. aFSH in mid-follicular, 3.85 - 8.78; mid-cycle, 4.54 - 22.51; mid-luteal, 1.79 - 5.12; postmenopausal, 16.74 - 113.59. bLH in mid-follicular phase, 2.12 - 10.89; mid-cycle, 19.18 - 103.03; mid-luteal, 1.20 - 12.86; postmenopausal, 10.87 - 56.64. cProlactine in premenopausal, 3.34 - 26.72; postmenopausal, 2.74 - 19.64. dEstrodiol in mid-follicular, 24 - 114; periovulatory, 62 - 534; mid-luteal, 80 - 273; postmenopausal, 20 - 88. *The estrodiol was assayed after the IV premarin given.
TSH74.71mIU/L0.34 - 5.60
Free T40.55ng/dL0.58 - 1.64
Free T32.5pg/mL2.5 - 3.9
FSH2.9mIU/mL1.79 - 113.59a
LH5.6mIU/mL1.20 - 103.03b
Prolactine16.9ng/mL3.34 - 26.72c
Estrodiol362*pg/mL20 - 534d