Medicine · Explanation & counselling

Thyroid treatment choices

Medium

10 min station · 2 min reading · Curtin Year 5

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J F N D

2 min reading · 10 min station · reminders at 2 min

Instructions

You are an intern in the endocrine clinic. Freya Rasmussen, 32, has had weight loss, palpitations and heat intolerance for three months. Her GP found she has Graves disease. She wants to know her treatment options.

  1. Perform a focused examination

  2. Explain your findings and the management plan to Ms Rasmussen

  • You do not need to take a history
  • Please verbalise your examination; findings will be provided on request

Results

TSH below 0.01 (0.4 to 4.0); free T4 38 (10 to 20); TSH receptor antibodies positive. FBC and LFTs normal.

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Investigations

Examination