Hyperthyroidism?

75/f having thyroid swelling since 25yrs, no treatment taken. now she feeling weakness, rise in body temperature, before 3 or 4 days, she suffered with Gastroenteritis, Tubectomy done 25 yrs ago. plz suggest Case of Hyperthyroidism

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FNAC of thyroid is a must before initiating any treatment. Free hormones estimations warranted. Propranalol 10mg TID may be given.
Thanks Dr @Ashok Leel Sir
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Is she on treatment for hyperthyroidism. Repeat TFT before labelling her a case of hyperthyroidism. Weakness and fever may be due to infective Gastroenteritis. Monitor Serum electrolytes. Give plenty of oral fluids with salt.or ORS sachets. A course of antibiotics to be given Antipyretics Coming to the Thyroid swelling, Order for TFT USG Thyroid FNAC Thyroid Anti Tpo antibodies. If she is not taking treatment for hyperthyroidism , confirm the diagnosis after second report and start with 10 mg of methimazole or carbimazole once a day. Monitor TSH after 4 weeks and adjust the dose.
Thank you doctor
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IT'S A..CASE OF.. GERIATRIC FEMALE.. K/C/O .. THYROID SWELLING.. & .. HYPERTHYROIDISM .. PRESENTLY.. G/E.. WITH..PYREXIA.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * URINE ROUTINE.. * STOOL EXAMINATION..C AND S EXAMINATION..SOS.. USG STUDY NECK.. FNAC.. MEANWHILE.. TREAT SYMPTOMATICALLY ..
USG Thyroid. Hyperthyroidism. Needs further investigation and evaluation to conclude and treatment plan. Symptomatic treatment till reports complied. Good nutritious balanced liquid diet. Multivitamin and antioxidant orally. ORS and calcirol D3 sachet Biweekly.
Thanks Dr S M Sarfaraz
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First treat Gastroenteritis. Then Please repeat Thyroid profile. Suggest: Blood for Hb TC DC and ESR FBG PPBG Cr Vit B12 level, Serum vitamin D3 level. USG of Whole abdomen. USG of Thyroid. As age is more, there is lots of other reason of weakness.
SUGGESTIVE of ......HYPERTHYRODISM.. NEEDS. FURTHER EVALUATION
Thank you @Dr Robin Nirwan for tagging me
Since T3 and T4 are normal, TSH is low Thyroid swelling Subclinical hyperthyroidism Suggest Free T3, T4 Thyroid antibodies Thyroid stimulating hormone immunoglobulin ( TSI ) is a sensitive marker for hyperthyroidism. Thyroid US, Thyroid nuclear scan , FNAC of thyroid indicated.
Provisional diagnosis : Hyperthyrodism Adv: FT3,FT4, Thyroid antibodies, Calcium, thyroid scan If confirm then treat it With Tab neomarkezole od For GE tab zil o bd
Thyroid crisis