You are a family doctor who has a healthy 60
yr. old man (John Androman) come into your office requesting to be given
replacement hormone therapy (testosterone) so he can be more youthful and
enjoy an active upcoming retirement.
As this man=s physician you have
been entrusted with properly assessing this man=s health and
determining whether prescribing hormone therapy is a warranted course of
action.
John Androman=s Medical History
A
recent physical examination including blood work was done on John and
every aspect of his health was well within normal levels for his age
A
testosterone level test yielded a result of (450 ng/dl)
Past
History
-kidney stone when he was 35 (treated and has not reoccurred)
-tendonitis in his right elbow 2 years ago due
to playing too much golf (with a poor swing)
(treated and has not reoccurred.... he took golf lessons to help him)
Use
the background material with links found on the first
page of this issue and your text references
to prepare for this task.
Other
web based articles to help you research this case include:
http://www.merck.com/pubs/mm_geriatrics/
http://www.recipnet.indiana.edu/
http://webmd.lycos.com/content/
http://www.ncbi.nlm.nih.gov/
http://www.thehormoneshop.com/
http://www.andropausecanada.com/
1.a) 1. a) What are steroid hormones?
b) Write down the molecular formula for testosterone and draw the
molecular structure for testosterone. What elements make up this molecule?
c) What type of molecule are steroid hormones like testosterone
(carbohydrate, lipid, protein, other)?
d) How do steroid hormones find the proper cells in your body to work on?
e) How do steroid hormones get through the cell membrane?
f) What part of the cell do steroid hormones act on?
g) When testosterone enters a skeletal muscle cell it promotes synthesis
of proteins which will affect muscular strength. Describe where and how
proteins are made inside a cell.
