Case List History Objectives Radiology Images Questions SURGICAL ENDOCRINOLOGY Case #2 - A 30 year old woman with palpitations and weight loss DISCUSSION QUESTIONS: 4.) What diagnostic workup should you do? Diagnostic evaluation: Laboratory: TSH - suppressed Free T4 - elevated Thyroid stimulating immunoglobulin - stimulates the TSH receptor and is present in Graves' disease Radioactive iodine scan - possible findings: Increased diffuse uptake in Graves' disease Multiple nodules with varying uptake in Plummers disease Solitary hot nodule with remainder of gland suppressed Thyroiditis with decreased uptake
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