CASE 7 EDUCATIONAL OBJECTIVES

1. What is the level of thyroid function in this patient? Are additional diagnostic tests necessary to define the level of thyroid function and if so which one(s)?

Hyperthyroid.
Yes, TSH.

2. What is the most likely cause of this patient's illness? What tests are necessary to confirm its cause? Are antithyroid antibodies helpful?

Graves' disease, rule out subacute lymphocytic thyroiditis.
An I123 uptake and a scan.
Yes.

3. What are the treatment options?

Antithyroid drug therapy
Rradioactive iodine therapy
Surgery.