A 30-year-old patient with lid lag and lid retraction and exophthalmos, TSH is low and T3 and T4 are high?
Understand the Problem
The question is asking for the best management option for a specific case of a 30-year-old patient with certain thyroid-related symptoms, indicating hypothyroidism or a thyroid disorder. It presents several potential treatment options, and the goal is to identify the most appropriate choice based on the clinical scenario.
Answer
Radio-isotope scan will show whole gland cold is incorrect.
The final answer is 'Radio-isotope scan will show whole gland cold' is incorrect; a radio-isotope scan typically shows increased uptake in Graves' disease.
Answer for screen readers
The final answer is 'Radio-isotope scan will show whole gland cold' is incorrect; a radio-isotope scan typically shows increased uptake in Graves' disease.
More Information
The patient exhibits symptoms of Graves' disease, indicated by lid lag, lid retraction, exophthalmos, low TSH, and high T3/T4. Treatment can include antithyroid medications or radioactive iodine therapy.
Tips
A common mistake is assuming radio-isotope scans always show cold areas, but in hyperthyroidism, they often show increased uptake.
Sources
- Thyroid-associated Orbitopathy: Overview, Pathophysiology, Etiology - emedicine.medscape.com
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