15-year old girl was admitted to the outpatient clinic. She noticed 2nd degree of goiter, weight loss ( 8 kg during 2 mnd), secondary amenorrhea and tachycardia (94 bits/per min). Thyroid tests were performed:
TSH: 0.004 IU/l (N: 0.4-4.5 IU/mL)
FT4: 16.5 pmol/l (n= 10.0-15.0 pmol/l)
FT3: 14.4 pmol/l (n= 3.5-9.9 pmol/l)
Anti–TPO: 118 (n <34)
Anti–TG: 662 (n < 30)
Anti–TSHR: 1,4 (n < 1,8)
Probably diagnosis in this patient is:
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- Graves disease
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- Hashitoxicosis
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- Secondary hypothyroidsm
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- Ectopia of the thyroid gland
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An 18-year-old woman falls onto her outstretched hand while under the influence of alcohol; she attends her local and A & E department where she complains of severe pain in the right forearm. X.ray reveals Fracture of the distal end of radius with a disruption of the distal radioulnar joint. This Type of fracture named after which surgeon?
- A. Baron
- B. Colle
- C. Monteggia
- D. Glaeazzi
- E. Smith
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A 72 year old male presents with acute confusion. He has been in the hospital for 2 weeks having been treated for a DVT. The nurses have noticed that he became increasingly drowsy. Examination: small scalp laceration, a GCS of 8 and bilateral up-going plantar response. What is the likely diagnosis?
- a. Infection toxicity
- b. Delirium tremens
- c. Extradural hematoma
- d. Subdural hematoma
- e. Electrolyte imbalance
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