A 21-year-old female with palpitations has this TFT results (TSH normal, T3 and T4 are high): a) Start Neomercazole b) Start neomercazole and propranolol c) Oral contraceptive pill... A 21-year-old female with palpitations has this TFT results (TSH normal, T3 and T4 are high): a) Start Neomercazole b) Start neomercazole and propranolol c) Oral contraceptive pill should be excluded d) Thyroid function test is required e) Gravis disease is most likely
Understand the Problem
The question is asking about the management steps for a 21-year-old female with high T3 and T4 levels and normal TSH who also presents with palpitations. It is looking for which option should be excluded in this clinical scenario.
Answer
Start neomercazole and propranolol.
The best choice is to start neomercazole and propranolol.
Answer for screen readers
The best choice is to start neomercazole and propranolol.
More Information
Neomercazole addresses the underlying hyperthyroidism, while propranolol relieves palpitations.
Tips
A common mistake is not addressing both the symptoms (palpitations) and the underlying cause (high T3 and T4).
Sources
- Evaluating and managing patients with thyrotoxicosis - RACGP - racgp.org.au
- Hyperthyroidism and Thyrotoxicosis - Medscape Reference - emedicine.medscape.com
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