Further plan and diagnosis old lady with SOB

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There are visible carotid pulsation in neck Also called as corrigan's sign or dancing carotid It can be seen in Aortic regurgitation Thyrotoxicosis Anaemia Beriberi Cirrhosis of liver Plan Kindly do investigation to assess etiology Check blood pressure Look for water hammer pulse Check thyroid function test Do 2 D echo
THYROID GOITER IS PRESENT PROMINENT NECK VEINS PATIENT IS ANEMIC DETAIL INVESTIGATIONS NEEDED X RAY CHEST PA VEIW ECG ECHOCARDIOGRAPHY BLOOD INVESTIGATIONS CBC BLOOD SUGAR BLOOD UREA CREATININE COMPLETE URINE EXAMINATION THYROID FUNCTIONS TO RULE OUT THYROTOXICOSIS CONTROL OF BP AND PULSE
How can you tell she is anemic ?
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Graves' disease Excess thyroid hormone produces over stimulation of thyroid gland to cause enlargement. Seen enlarged thyroid comes downwards to cause carotid obstruction as blood comes downwards from head & neck
What is the criteria to diagnose Graves Disease ?
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Goitre.check for retrosternal extension since neck veins are engorged.
Thyroid goitre Furteer evluation is required
Tnx Dr Huptaji
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SUGGESTIVE of THYROID GOITRE
Thyroid Goiter
Thanku Dr Mehul Hundiwal Sir
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Thyroid goiter
Colloid goitre Adv cbc Lft kft tft pft Usg of neck or fnac