Rachana
Forum Junior
Topics: 23
Posts: 52
|
A 39-year-old woman has noted discomfort with fullness to her neck over the past year. On physical examination she is afebrile and normotensive. There is irregular enlargement to her thyroid gland, but no tenderness on palpation. A scintigraphic scan shows normal uptake except for increased uptake in a 1 cm area in the left lower lobe. Laboratory studies show TSH 3.1 mU/mL and free thyroxine of 1.2 ng/mL. Her anti-thyroid peroxidase antibody is negative. Which of the following complications is she most likely to develop?
A Thyrotoxicosis
B Papillary carcinoma
C Graves disease
D Subacute thyroiditis
E Hypothyroidism
Answer and explaination please?
|
| mash
Forum Fanatic
Topics: 147
Posts: 1,326
|
thyrotoxicosis?
___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius
|
| Idiopathic
Forum Guru
Topics: 19
Posts: 641
|
it is a hot nodule, and 5-10% of these develop into carcinoma (based on size), but it is more common for it to turn into a hyperthyroid area.
|
| mani
Forum Guru
Topics: 104
Posts: 1,403
|
hot nodule, usually adenoma
___________________
Sincerity and hard work are the keys to success!
|
| Rachana
Forum Junior
Topics: 23
Posts: 52
|
The answer given is A.
Multinodular goiter is the result of long-standing simple goiter. A toxic multinodular goiter (Plummer syndrome) occurs in less than half of patients with multinodular goiter. A hyperfunctioning nodule is the source for increased thyroid hormone.
|
|
| |
| | | | | |
