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“neck swelling”
A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
Patient denies
Surgical removal of benign left breast nodule 2 years ago
No medication at the time
NKA
Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
Bulging eyes
Diffuse enlargement of the thyroid gland
CTA AP&L
S1S2 without rub, Tachycardia
benign, normoactive bowel sounds x 4
Non contributory
no cyanosis, clubbing or edema
Thin skin, Increase moisture
No obvious deficits and CN grossly intact II-XII
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.

 
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