Mrs. Thyra Oidd, a 35 y/o female, presented with complaints of anxiety, inflamed and bulging eyes, difficulty sleeping, irritability, and unexplained weight loss. She reported that she thought her maternal great grandmother similar symptoms.
In addition to the above complaints, her physical examination indicated elevated blood pressure and palpitations. There was a slightly enlarged thyroid gland. Her skin evidenced thickening and reddish patches.
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1. Anxiety, inflamed and bulging eyes, difficulty sleeping, irritability, unexplained weight loss, palpitation, elevated blood pressure, enlarged thyroid gland, thickened skin and reddish spots suggest hyperthyroidism. According to the given signs and symptoms, we can suspect hyperthyroidism.
2. In order to confirm the suspected diagnosis, we have to do thyroid function test. (TFT). TFT has to be done in empty stomach.
3. Treatment for hyperthyroidism : Propyl thio uracil as antithyroid medication which block the synthesis of thyroid hormones, has to be prescribed. If persistent hyperthyroidism exists, thyroidectomy has to be performed.
4. Treatment of exophthalmos: Corticosteroids has to be prescribed to decrease the swelling of eyes.
Mrs. Thyra Oidd, a 35 y/o female, presented with complaints of anxiety, inflamed and bulging eyes,...
Mrs. H.B., a 40 y/o female presents to the ED with complaints of increasing fatigue and palpitations. She states even after resting, she does not feel rested and is having difficulty sleeping even though she feels tired. She is having difficulty concentrating and sitting still for long periods of time to finish her work. She feels hungry often and reports a 13 lb weight loss in the last 4 weeks. She denies any kind of dieting or intentional weight loss....
Ms. A. A. is a 24 y/o female admitted with complaints of palpitations and shortness of breath. Her most recently vital signs are 100/70, HR 120, RR 22, SpO2 @ 98% on room air. She states she has not been able to sleep for the last five days and appears restless and teary eyed. EKG shows sinus tachycardia and all labs return unremarkable. She denies any past medical history besides issues with sleeping and states she is taking zolpidem 5...
Scenario: Ms. A. A. is a 24 y/o female admitted with complaints of palpitations and shortness of breath. Her most recently vital signs are 100/70, HR 120, RR 22, SpO2 @ 98% on room air. She states she has not been able to sleep for the last five days and appears restless and teary eyed. EKG shows sinus tachycardia and all labs return unremarkable. She denies any past medical history besides issues with sleeping and states she is taking zolpidem...