Sandbox:DDx HEENT: Difference between revisions
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* Decreased TSH | * Decreased TSH | ||
* Elevated T3 and T4 | * Elevated T3 and T4 | ||
* Positive TSH | * Positive anti-TSH receptor antibodies | ||
* Enlarged hyperechoic thyroid on U/S | |||
* Abscence of nodularity | |||
* homogeneously increased iodine uptake | |||
* Plump follicular cells with eosinophilic cytoplasm | * Plump follicular cells with eosinophilic cytoplasm | ||
* Hyperplastic follicles with papillary epithelial infoldings | * Hyperplastic follicles with papillary epithelial infoldings | ||
* Colloid 'scalloping' at the apical membrane | * Colloid 'scalloping' at the apical membrane | ||
Revision as of 20:23, 1 November 2015
- 40-60 yo women
- Weight loss, heat intolerance, diarrhea, insomnia, hair loss and palpitations
- Ophthalmopathy
- 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