A 16 years old boy was referred by his general practitioner for assessment of suspected hyperthyroidism
Complains • Racing heart • Gastric reflux
Other
• Good appetite • No apparent weight gain or loss
• No diarrhoea
The parents reported that the boy had problems with behaviour and school performance and seemed to be hyperactive
Examination Revealed a • Large smooth goitre • Thyroid bruit • Tachycardia • Sweaty plams
• Proximal muscle weakness
| Month |
Nov |
Dec |
Jan |
Feb |
Mar |
Unit |
Ref Range |
| fT4 |
92 |
53 |
18 |
8 |
3 |
pmol/L |
10-20 |
| TSH |
|
Investigations of Hyperthyroidism – howMed
A 16 years old boy was referred by his general practitioner for assessment of suspected hyperthyroidism
Complains • Racing heart • Gastric reflux
Other
• Good appetite • No apparent weight gain or loss
• No diarrhoea
The parents reported that the boy had problems with behaviour and school performance and seemed to be hyperactive
Examination Revealed a • Large smooth goitre • Thyroid bruit • Tachycardia • Sweaty plams
• Proximal muscle weakness