Goiter
A 50-year-old woman presents to the clinic with complaints of a noticeable swelling in her neck that has developed gradually over the past year. She reports feeling a tight sensation in her throat, especially when swallowing, but denies any difficulty breathing or significant pain. The patient also mentions occasional fatigue and weight gain, although she attributes this to a sedentary lifestyle.
On physical examination, a firm, non-tender enlargement of the thyroid gland is palpated, extending from the midline to the left side of the neck. The thyroid is symmetrical, and there are no palpable lymph nodes in the cervical region. A thyroid function test shows normal levels of thyroid hormones (TSH, T3, and T4), indicating that the patient is euthyroid.
To further evaluate the goiter, a neck ultrasound is performed, which reveals a multinodular goiter with several small nodules but no suspicious characteristics. The patient is educated about the nature of the goiter and the importance of regular monitoring. She is advised on dietary modifications, including increasing her iodine intake, and is scheduled for follow-up in six months to reassess the goiter's size and any potential changes in symptoms.
a). Difficulty breathing
b). Noticeable swelling in the neck
c). Severe pain in the neck
d). Frequent headaches
a). Hyperthyroid
b). Hypothyroid
c). Euthyroid
d). Thyroid storm
a). A single large nodule
b). A multinodular goiter with several small nodules
c). Thyroid cancer
d). A cystic lesion
a). Decrease protein intake
b). Increase iodine intake
c). Increase carbohydrate intake
d). Decrease calcium intake
