[Answered]: A 36-year-old woman present to PT with a referral…

A 36-year-old woman present to PT with a referral from her physician for “suspected carpal tunnel syndrome.” She reports a 1-year history of 40lb weight gain, generalized fatigue, thinning hair and tingling in her hands at night. Her husband had also commented that she had developed a deeper, croaky voice. Her periods had become irregular. On examination she was overweight with generally dry skin and thin, rather coarse hair. Her HR was 60 bpm. She was also felt to have slow deep tendon reflexes.