26 years old lady presented with weight loss 10 kg over last 6 weeks, palpitations, hyperdefecation, pain in throat, significant anxiety & depressive features. Her both parents were on LT4 replacement for hypothyroidism. On examination, HR 126/min, no goiter, no eye signs, fine tremors+
Biochemistry revealed overt hyperthyroidism
99m Tc Thyroid scan was performed
Serum Thyroglobulin levels – 0.2 ng/mL (1.7-55.6ng/mL)
What would be the most appropriate management of this case
A.Start Methimazole and Beta Blockers
B.Start Beta Blockers and NSAIDS
C.RAI Ablation
D.Start Beta Blockers and Reassess thyroid function after 4 weeks
To participate in World Thyroid Day quiz, type your answers in the comments.
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Dr. Vasdev
There is no report of finding of thyroid scan.If it is normal, it is acase of subacute thyroiditis, in that case betablockers are sufficient otherwise other measures according to report