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Medicine

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Endocrine

Question
13 out of 18
 

Which is a feature of Grave disease?



A Gynecomastia
B Lymphadenopathy

C Hypercalcemia
D All of the above

Ans. D

All of the above

Others feature of hyperthyroid

1). Heat intolerance

2). Gynecomastia

3). Lymphadenopathy'

Extra Edge: Apathetic hyperthyroid.

It occurs in elderly people, have thyrotoxicoses due to increase thyroid hormone secretion but there are no features of hyperthyroid except atrial fibrillation or weight loss.

Tests

Evaluation of thyrotoxicosis. (Ref, Hari 18th ed., Pg-2920, Fig 341.6)

1). TSH (suppressed), T4 and T3.

2). Thyroid scan is done for toxic adenoma and multinodular goiter.

3). Hypercalcemia occur in 5% of patient.

Complications

1). High output Heart failure (thyrotoxic cardiomyopathy)

2). Angina

3). Osteoporosis

4). Ophthalmopathy

5). Gynecomastia.

6). Thyroid storm

Endocrine Flashcard List

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