COURSE on THYROID ULTRASOUND

Section 6 Advanced courses

Part 5 Teamwork

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Teamwork - case 17

Clinical data: A 59-year-old woman was referred for evaluation of a newly diagnosed hyperthyroidism. She was operated on Graves' disease 17 years ago. She did not require replacement therapy after surgery. Typical complaints suggesting hyperthyroidism have evolved for 3 months; these included weight loss, fatigue, elevated pulse rate and thyroid associated orbitopathy.

Palpation: Both lobes were firm and uneven, therefore they were nodular on palpation.

Laboratory data: TSH 0.001 mIU/L, FT4 39.2 pM/L, TSAb 9.2 U/L (normal value below 1.5).

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