CASE III


History

A 50-year-old man presents with enlargement of left anterior neck. He has noted increased appetite over past month with no weight gain, and more frequent bowel movements over the same period.


Physical Exam

He is 5'8" tall and weighs 150 lb. The heart rate is 82 and the blood pressure is 110/76. There is an ocular stare with a slight lid lag. The thyroid gland is asymmetric to palpation, weighing an estimated 40g (normal = 15-20g). There is a 3 x 2.5 cm firm nodule in left lobe of the thyroid.


Questions

What do you think the patient's primary problem is?


Answer here or wait for next week

3 comments:

Anonymous said...

May be grave's disease

-Mahesh Sharma

Anonymous said...

It is hyperthyroidism with thyrotoxicosis.
Suman Raj

Anonymous said...

I dont know
Bishow raj

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