Your agitated patient has a goiter and exophthalmos. Which of thef ollowing diseases is MOST likely affecting this patietn?
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The patient has a goiter (enlarged thyroid gland) and exophthalmos (protrusion of the eyes). Show more…
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A patient comes to a local health clinic with a large swelling in the neck that appears to be goiter. As the physician is taking the patient's history, the patient mentions not using iodized salt. The patient is overweight and has a slow metabolism. Does this patient have hyperthyroidism or hypothyroidism? How is this problem related to the lack of iodine in the diet?
A patient has a goiter associated with high plasma levels of thyroid-releasing hormone (TRH) and thyroid-stimulating hormone (TSH). The heart rate is elevated. This patient most likely has which of the following? A. Endemic goiter B. A hypothalamic tumor secreting large amounts of TRH C. A pituitary tumor secreting large amounts of TSH D. Graves' disease
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A 50-year-old man presents with enlargement of the left anterior neck. He has noted increased appetite over the past month with no weight gain and more frequent bowel movements over the same period. Physical Exam: He is 5'8" tall and weighs 150 lb. The heart rate is 82, and the blood pressure is 110/76. There is an ocular stare with a slight lid lag. The thyroid gland is asymmetric to palpation, weighing an estimated 40g (normal = 15-20g). There is a 3 x 2.5 cm firm nodule in the left lobe of the thyroid. Questions: 1. What do you think the patient's primary problem is? 2. What gland or glands do you think is or are involved? 3. Which hormones could be responsible? 4. If it is hormonal, could this be a case of hypersecretion or hyposecretion? Explain. There is more than one possibility, and there are many interconnections.
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