Patient case: Hyperthyroidism
A 38-year-old female presents to the clinic with complaints of unexplained weight loss, increased sweating, and palpitations over the past three months. She reports feeling anxious and irritable and experiencing tremors in her hands. Her menstrual cycles have also become irregular. On physical examination, her thyroid gland appears enlarged, with no palpable nodules. Her heart rate is elevated at 110 beats per minute, and she has a fine tremor in her hands.
Laboratory tests reveal elevated free T4 and suppressed TSH levels, confirming the diagnosis of hyperthyroidism. A thyroid scan later shows increased uptake consistent with Graves' disease.
The patient is started on antithyroid medications and advised to follow up regularly for monitoring her thyroid function and medication adjustment.
a) Weight gain
b) Palpitations
c) Hand tremors
d) Increased sweating
a) Enlarged lymph nodes
b) Enlarged thyroid gland
c) Pale skin
d) Swollen ankles
a) Hashimoto's thyroiditis
b) Graves' disease
c) Thyroid cancer
d) Iodine deficiency
a) Radioactive iodine therapy
b) Antithyroid medications
c) Thyroidectomy
d) Beta-blockers alone
Answers
1. a) Weight gain
2. b) Enlarged thyroid gland
3. b) Graves' disease
4. b) Antithyroid medications
