Thursday, June 10, 2010

CASE-4-THYROTOXICOSIS

Mr SS ,54y,M ,non-smoker, presented with loss of weight and generalised weakness of 3 months duration.
O/E- Pulse-104/min,regular, Bp-122/80mm,No oedema or cyanosis.
No Goitre or exopthalmos, On systemic examination-NAD
Investigations- Hb-14.5gm%,Blood sugar-PP-122mg%
DIAGNOSIS-???
KEY EXAMINATION-STRECH YOUR UPPER LIMBS AND HANDS
ANSWER-TREMORS-FINE –PRESENT
KEY INVESTIGATION-THYROID PROFILE
RESULT- T4-16.4MG% ,TSH-0.01 IU/ml
FINAL DIAGNOSIS-THYROTOXICOSIS

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