SAQ 1999 – Adult with abnormal thyroid tests and unstable vital signs

A 36-year-old woman is brought by her husband because she is not herself.

Her GP has been investigating irritability, weight loss, palpitations and fatigue. Results are TSH 0.2 mIU/L (0.4-5) and T4 20 mcg/dL (5-11).

She appears restless and anxious. Observations are HR 160, BP 91/57 and temperature 38 degrees C. You conclude the current presentation is due to her thyroid disorder.

Provide a diagnosis and list four possible aetiologies.

(Marked out of 5.0)

/ 5

List six differential diagnoses that must be considered.

(Marked out of 3.0)

/ 3

List and prioritise the required medical treatments with a justification.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Treatment</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 12

Percentage: 0%