ESR [025] Endocrine Data analyses

Question 1

A retired headmistress from upper EGYPT is brought to the outpatient’s Thyroid Clinic by her daughter. She has noticed a swelling in her mother’s

neck and is worried about it The patient feels cold, has trouble concentrating and is overweight

You suspect thyroid dysfunction & order thyroid function tests

Answer 1

Hypothyroidism

Question 2

A retired headmistress from upper EGYPT is brought to the outpatient’s Thyroid Clinic by her daughter. She has noticed a swelling in her mother’s

neck and is worried about it The patient feels cold, has trouble concentrating and is overweight

You suspect thyroid dysfunction & order thyroid function tests

Conclusion?

Answer 2

Question 3

A retired headmistress from upper EGYPT is brought to the outpatient’s Thyroid Clinic by her daughter. She has noticed a swelling in her mother’s

neck and is worried about it The patient feels cold, has trouble concentrating and is overweight

You suspect thyroid dysfunction & order thyroid function tests

Conclusion?

Answer 3

Question 4

Finally, you arrange to see the mother one year later, she visits with her daughter

The daughter is sun-tanned and freshly back from a three-month summer vacation in Alexandria. Despite it being a warm sunny day in Cairo, you notice that her mother is wearing a heavy coat and seems tired and a little vague when responding to your questions about her wellbeing.

What do you conclude?

Answer 4

Question 5

• A very busy lawyer, aged 50, presents in your GP clinic in Alexandria. He complains of restlessness, excessive sweating and an inability to sleep

• He appears thin and restless

• You suspect thyroid dysfunction

Diagnosis?

Answer 5