Status
Not open for further replies.

sami220sa

Junior Member
7+ Year Member
15+ Year Member
Aug 10, 2002
14
0
40
Visit site
Status
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:
 
About the Ads

blueflamer

New Member
15+ Year Member
Aug 15, 2002
4
0
44
Adelaide, Australia
Visit site
Status
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!
 

Airborne

Senior Member
7+ Year Member
15+ Year Member
Jun 15, 2002
166
0
46
East Coast
Visit site
Status
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
 

saori

Senior Member
7+ Year Member
15+ Year Member
Jan 28, 2002
345
1
santo domingo, dominican republic
Visit site
Status
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!
 

MustafaMond

K-Diddy M.D.
7+ Year Member
15+ Year Member
Jul 14, 2002
1,935
5
41
Visit site
Status
The answer is Iodine Deficiency (endemic goiter)
LOL!

Take that **** back to Afghanistan, sami!
 

RedSHIFT

to victory
10+ Year Member
Apr 25, 2006
304
8
six o'clock low
Status
Medical Student
tell the Afghanistan tribal people to eat some iodinized salt:sleep:....someone needs to open a Denny's in Kabul.
 

njbmd

Guest
Moderator Emeritus
5+ Year Member
15+ Year Member
May 30, 2001
9,050
148
Gone Walkabout!
Visit site
Status
Attending Physician
This is not the site for "homework" help. Closing.
 
Status
Not open for further replies.
About the Ads