- Joined
- Aug 10, 2002
- Messages
- 14
- Reaction score
- 0
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 ?
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 ?