A 25yo woman has a recent cough, hoarseness and swelling in the neck. There are several nontender swellings on both sides of her neck. She has lost 13kgs. She takes recreational drugs.
What is the most probable dx?
a. Thyrotoxicosis
b. Hyperthyroidism
c. Vocal cord nodules
d. Carcinoma bronchus
e. TB
Ans. The key is E. TB. [Cough, wt. loss, non-tender cervical lymphadenopathy, and immunodeficient state as a result of recreational drug use all these favours the diagnosis of TB. Laryngeal involvement may be the cause of horseness].