CLINICAL MEDICINE

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MEDICINE

NEPHROLOGY

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. Weight loss and tremors. From the results of the physical examination TTV BP 120/80 mmHg, pulse 120x/minute, RR 20x/minute afebrile temperature. There is a moving neck struma with swallowing. From the results of laboratory tests, it was found that there was an increase in T3 and T4 and an increase in TSH. What is the patient’s current likely diagnosis?
A
Autoimmune primary hyperthyroidism
B
Secondary hyperthyroidism e.c pituitary tumor
C
Autoimmune primary hypothyroidism
D
Primary hyperthyroid e.c inflammation
E
Primary hypothyroid e.c iodine deficiency
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: -Heart palpitations often don’t indicate a health problem. They can be caused by a variety of factors, including: being startled, frightened or under stress. Cold, allergy, and asthma medications; herbal supplements and other drugs, caffeine and alcohol can also cause 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: -Causes of heart palpitations lack of sleep. stress and anxiety. medicines (check the leaflet that comes with the medicine) alcohol, caffeine, nicotine and recreational drugs.

There is 1 question to complete.
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