A 35 year old woman came to the doctor with complaints of palpitations since 1 week ago. The weight seems to drop dramatically even though you eat a lot. From the results of the physical examination TTV BP 120/80 mmHg, pulse 120x/minute, RR 20x/minute afebrile temperature. There is a diffuse lump in the neck that moves with swallowing. The lump is painful. From the results of the DL examination, it was found that leukocytosis with dominant lymphocytes. What is the patients current likely diagnosis?

NEPHROLOGY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 35 year old woman came to the doctor with complaints of palpitations since 1 week ago. The weight seems to drop dramatically even though you eat a lot. From the results of the physical examination TTV BP 120/80 mmHg, pulse 120x/minute, RR 20x/minute afebrile temperature. There is a diffuse lump in the neck that moves with swallowing. The lump is painful. From the results of the DL examination, it was found that leukocytosis with dominant lymphocytes. What is the patient’s current likely diagnosis?

A	Graves disease
B	Chiro Ijichi s Hashimoto
C	Suppurative acute thyroiditis
D	de quervain’s thyroiditis
E	Endemic goiter

Explanation:

Detailed explanation-1: -You should make an appointment to see your GP if: your palpitations last a long time, don’t improve or get worse. you have a history of heart problems. you’re concerned about the palpitations.

Detailed explanation-2: -Though weight loss itself may not cause heart palpitations, some things that accompany it may. For example, diet pills, exercise, caffeine intake, nutritional disturbances, or electrolyte abnormalities can trigger heart palpitations.

Detailed explanation-3: -The most common causes of palpitations include cardiac disorders, medical conditions including endocrine and metabolic abnormalities, psychiatric disorders, medication effects, and drug or other substance use effects (table 1).

Detailed explanation-4: -Foods that may cause heart palpitations include: High-carbohydrate foods, which can spike blood sugar levels, particularly if you have low blood sugar (hypoglycemia). High-sodium foods, such as processed or canned foods. High-sugar foods, especially if you have hypoglycemia.

There is 1 question to complete.

CLINICAL MEDICINE

MEDICINE

NEPHROLOGY