Sandbox:DDx HEENT: Difference between revisions

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* 40-60 yo women
* Anemia and lymphopenia
* Weight loss, heat intolerance, diarrhea, insomnia, hair loss and palpitations 
* Eosinophilia and neutrophiliae
* Ophthalmopathy
* Positive warm-agglutinin  antibodies
 
* Elevated LDH and creatinine concentration
* Diffusely enlarged, symmetric, nontender goiter
* Lid lag and exophthalmus
* Pretibial myxedema
* Moist warm skin
 
* Decreased TSH
* Elevated T3 and T4
* Positive anti-TSH receptor antibodies
 
* Enlarged hyperechoic thyroid on U/S
* Abscence of nodularity
* homogeneously increased iodine uptake
 
* Plump follicular cells with eosinophilic cytoplasm
* Hyperplastic follicles with papillary epithelial infoldings
* Colloid 'scalloping' at the apical membrane

Latest revision as of 20:51, 4 November 2015

  • Anemia and lymphopenia
  • Eosinophilia and neutrophiliae
  • Positive warm-agglutinin antibodies
  • Elevated LDH and creatinine concentration
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