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Cases studies .....for medical student only

Discussion in 'Medical Students - MD' started by sami220sa, Aug 20, 2002.

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  1. sami220sa

    sami220sa Junior Member 7+ Year Member

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    Aug 10, 2002
    A 40 years old women who has recently emigrated from Afghanistan to a practice to establish medical care . she complains only of mild fatigue and depression . Physical examination reveals a prominent , symmetrically enlarged thyroid about twice normal size . the remainder of the examination is normal .
    Questions :
    1- What other features of the history should be elicited ?
    2-What is the most likely cause of the patient's thyroid enlargment ? what is the pathogenetic mechanism of goiter formation in this disease ?
    3- What laboratory tests should be ordered and why ?

    :cool: :love: :clap:
     
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  3. leorl

    leorl Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

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    Jan 2, 2001
    I'll move this to the allopathic forum, you may get more viewership there.
     
  4. KyGrlDr2B

    KyGrlDr2B 7+ Year Member

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    Oct 15, 2001
    KY
    Are you wanting us to do your homework for you?? ;) :rolleyes:
     
  5. blueflamer

    blueflamer New Member

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    Aug 15, 2002
    Adelaide, Australia
    why don't you check out these websites for your answer? www.merck.com
    www.emedicine.com

    also, search for goiter, thyroid, etc. on www.google.com

    look at oxford handbook of clinical medicine, robbin's pathologic basis of disease, etc.

    i haven't done endocrine yet, but if i had this case i would start to look it up this way... good luck!
     
  6. Airborne

    Airborne Senior Member 7+ Year Member

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    Jun 15, 2002
    East Coast
    I'll agree with previous people who have posted replies...

    What is YOUR differential diagnosis?

    It is a bit easy to post PBL questions without having looked up the pathology, etc yourself, to expect looking well in follow-up sessions.

    After YOU have posited something, which you feel is relevant to the case, I'd be more than happy to give input.

    SO - Be a first year, and let the ideas flow! This is what medicine is about...

    Airborne
     
  7. saori

    saori Senior Member 7+ Year Member

    It's tricky to answer a question regarding a patient over a bulletin board. I would always rather see the patient myself. As to exams I would order:

    CBC
    (All Thyroid Hormone Tests)
    T4
    TSH
    T3
    FTI
    T3U
    Thyroid Scan and Radioactive Iodine Uptake Test (*if available at the hospital).

    This of course, based on your initial clinical appreciation that this woman has an enlarged thiroid upon physical evaluation...

    Good luck!
     
  8. MustafaMond

    MustafaMond K-Diddy M.D. 7+ Year Member

    1,935
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    Jul 14, 2002
    The answer is Iodine Deficiency (endemic goiter)
    LOL!

    Take that **** back to Afghanistan, sami!
     
  9. RedSHIFT

    RedSHIFT to victory 10+ Year Member

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    Apr 25, 2006
    six o'clock low
    tell the Afghanistan tribal people to eat some iodinized salt:sleep:....someone needs to open a Denny's in Kabul.
     
  10. dragonark

    dragonark 10+ Year Member

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    Oct 31, 2006
    always get a pregnancy test before any radioactive uptake scan.
     
  11. njbmd

    njbmd Guest Moderator Emeritus 5+ Year Member

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    May 30, 2001
    Gone Walkabout!
    This is not the site for "homework" help. Closing.
     

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