Question

A 47-year-old man presents complaining of nervousness, difficulty concentrating, restlessness, and insomnia. He has lost 25 pounds over the past 6 weeks and complains of heat intolerance. Physical examination revealed a 1-cm nodule in the left lobe of the thyroid gland.

1. What is the most likely explanation for the patient’s condition?
2. What laboratory tests should be ordered to confirm the diagnosis? What would you expect the results to be?
3. What further evaluation of the nodule could be undertaken?
4. If a biopsy is done, what can be expected in the pathologist’s report?

Answer 1

What is the mostly likely explanation for the patient conditions?

Thyroid nodules with hyperthyroidism.

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Laboratory tests;

• Ultrasound guided fine needle aspiration cytology.
• Ultrasound guided core needle biopsy(CNB)
• Thyroid scan
• Blood test.

Results;

• In blood test,hormone level get increased and thyroid stimulating hormone also.
• By their thyroid scan,we learn the nodule is weak or hot or cold the scan.
• By their ultrasound thyroid,we know structure of the nodule .

Further evaluation;

physical Examination ComiThyaoid feurction test ultra sonogaaphyse Fine-neidh aspiration biopsy Thyaoid JLan

Pathology report of thyroid nodules;

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