On physical examination, your 55-year-old female patient has an enlarged thyroid gland. She complains of feeling hot all the time, nervousness, palpitations, tremor, and recent weight loss of 10 pounds over the past 3 weeks
These signs and symptoms are commonly due to:
A. Hypothyroidism
B. Hyperthyroidism
C. Thyroid cancer
D. All of the above
ANS: B
Clinical manifestations of Grave's disease (hyperthyroidism) include diffuse goiter, nervousness, irritability, tremor, heat intolerance, weakness, tachycardia, palpitations, widened pulse pressure, increased sweating, weight loss, insomnia, frequent bowel movements, menstrual irregularities, exophthalmos, and infiltrative dermopathy. Patients older than 50 years often present with cardiac symptoms, such as hypertension, atrial fibrillation, or heart failure.
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