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Thyroid,atrial fibrilation,pneumonia
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Author8 Posts
  #1

A patient with pneumonia and atrial fibrillation,his investigations shows TSH normal at upper level,T3 normal range,T-4 slightly raised.what will do next investigation ?

a-Thyroid scan

b-Repeat thyroid function test after one month

c-do the thyroid function test now.

d-Echocardiography

e-CT scan of head


  #2

b-Repeat thyroid function test after one month


  #3

i'll go with b too!

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  #4

d-Echocardiography

  #5

i dint get a clue for the answer. btw whats the answer given ?

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  #6

may be

b-


  #7

I go with E

The patient has secondary hyperthyroidism (T4 increased, atrial fibrillation). increased T4 but TSH also is increased---> secondary hyperthyroidism--> CT to look for causes in pineal/pituitary gland


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The Key to Succeed is Patience.

  #8

I think its case of sick euthyroid syndrome as pt ishaving pneumonia as a result pperipheral conversion of t4 to t3 is not present.I will go with B.

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