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A 36-Year-Old Woman Comes to the Office Due to Weight

question 1165

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A 36-year-old woman comes to the office due to weight loss.  She has lost 5 kg (11 lb) over the last 3 months associated with palpitations, heat intolerance, persistent tremors, and excessive sweating.  Past medical and family histories are unremarkable, and the patient does not use tobacco, alcohol, or illicit drugs.  She is married and has a child.  Blood pressure is 140/70 mm Hg and pulse is 104/min and regular.  Physical examination shows a 2x2 cm nodule in the left thyroid lobe.  The rest of the thyroid gland is normal, and there is no associated cervical lymphadenopathy.  Eye examination shows minimal lid lag, but no proptosis or chemosis.  There is a fine tremor in both upper extremities.  Thyroid function test results are as follows: A 36-year-old woman comes to the office due to weight loss.  She has lost 5 kg (11 lb)  over the last 3 months associated with palpitations, heat intolerance, persistent tremors, and excessive sweating.  Past medical and family histories are unremarkable, and the patient does not use tobacco, alcohol, or illicit drugs.  She is married and has a child.  Blood pressure is 140/70 mm Hg and pulse is 104/min and regular.  Physical examination shows a 2x2 cm nodule in the left thyroid lobe.  The rest of the thyroid gland is normal, and there is no associated cervical lymphadenopathy.  Eye examination shows minimal lid lag, but no proptosis or chemosis.  There is a fine tremor in both upper extremities.  Thyroid function test results are as follows:   Radioactive iodine scan shows uptake only in the nodule.  The patient wishes to have additional children and is concerned that she will not be able to get pregnant if she is treated for her current condition.  If left untreated, this patient is at greatest risk for developing which of the following complications? A) Bone loss B) Coronary artery disease C) Fetal hyperthyroidism D) Thyroid cancer E) Vision loss Radioactive iodine scan shows uptake only in the nodule.  The patient wishes to have additional children and is concerned that she will not be able to get pregnant if she is treated for her current condition.  If left untreated, this patient is at greatest risk for developing which of the following complications?

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Definitions:

Complimented

Having been praised or positively remarked upon, typically regarding one's actions or attributes.

Stranger

An individual who is not known personally or is unfamiliar to someone else.

Symmetrical

Having identical form or arrangement on both sides of a dividing line or plane.

Physically Attractive

Pertaining to characteristics of a person's appearance that are appealing or desirable to others.

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