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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

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    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

    Physician Moderator Emeritus Lifetime Donor Classifieds Approved

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

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    Are you wanting us to do your homework for you?? ;) :rolleyes:
     
  5. blueflamer

    blueflamer New Member

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    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

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    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

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    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.

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    The answer is Iodine Deficiency (endemic goiter)
    LOL!

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

    RedSHIFT to victory

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    tell the Afghanistan tribal people to eat some iodinized salt:sleep:....someone needs to open a Denny's in Kabul.
     
  10. dragonark

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    always get a pregnancy test before any radioactive uptake scan.
     
  11. njbmd

    njbmd Guest
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    This is not the site for "homework" help. Closing.
     
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