A 30-year-old woman complains of palpitations, fatigue, heat intolerance, and insomnia. She is otherwise healthy. She and her husband desire children and are not interested in contraception. On examination, her extremities are warm, and she is tachycardic. Her eyes looks like the image. Laboratory testing reveals a free T4 value of 3.2 ng/dL (normal 0.9-2.4) with an undetectably low TSH level. Radioiodine uptake at 24 hours is 42% (normal 10-30). What is the best treatment plan for this patient?
سؤال مجاني 8 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
غير محسوم. ملفات الدفعة ما تحسم إجابة هذا السؤال، فما نخمّن. التفاصيل تحت.
The stem depends on an eye image that is not provided (it decides whether there is significant Graves ophthalmopathy, which changes the choice between radioiodine, drugs and surgery), so the answer cannot be confirmed. The sources only state that RAI is contraindicated in pregnancy and in moderate–severe ophthalmopathy, that surgery is indicated for women planning pregnancy within 6 months, and that a β-blocker is for symptom control.
- المصدر
- Thyroid disorders.pdf · p. 6
- المحاضرة
- Thyroid Disorders · Endocrinology · Module B
- ظهر في
- Endo bank