Case study #4
A 74-year-old woman is brought to the emergency department by her daughter. The daughter states that her mother lives alone and has no signifi cant medical problems. She says that she last saw her mother a month prior, before she left on an extended business trip. When she returned, she found her mother appeared restless and very nervous. She also appeared to have lost a noticeable amount of weight. The patient told her daughter that she had been having increased frequency of bowel movements, and felt like her heart was beating “fast and funny,” and that she felt like she might be coming down with a cold. Initial evaluation in the emergency department reveals sinus tachycardia and a painful, enlarged thyroid. Which of the following is the most likely etiology of her symptoms? (A) Autoimmune thyroiditis (B) Graves’ disease (C) Medication-induced hyperthyroidism (D) Subacute granulomatous thyroiditis (E) Toxic multinodular goiter
E.....old female , afebrile , with symptoms of thyrotoxicosis , ,,, what aboute local examination of thyroid??? For ultrasound , ESR .
Grave's disease or thyrotoxicosis .....as the symptoms are tachycardia, restlessness , weight loss, increased frequency of bowel movements , all due to increased BMR and hypertrophy of thyroid
Subacute granulomatous thyroiditis. Because the patient's examination revealed the presence of painful thyroid and also sinus tachycardia which r the important signs of subacute granulomatous thyroiditis, which is aka subacute painful thyroiditis.
