A 30-year-old female complaints of fatigue and is unable to gain weight. On examination, her body felt warm. Which of the following investigation can be helpful in reaching the diagnosis?
High-Yield Explanation
On the basis of above clinical scenario patient is suffering fromprimary Hypehyroidism. Primary Hypehyroidism CLINICAL FEATURES: Sympathomimetic stimulation : Palpitations - beta1 activation Fine Tremors - beta 2 activation Sweat on palms/soles Hypeension - alpha1 activation 2. BMR | -Weight loss 3. Calorigenesis | - Heat intolerance 4. Females - Oligomenorrhea / Infeility 5. Proptosis - Blinking action is inadequate - Drying of cornea - Exposure Keratitis - Grittiness / sand like sensation in eye. Work-UP: Thyroid Function Tests - Total T4 & T3- |, Free T4, T3 -| TSH: - If low - Primary hypehyroidism Fuher investigations are: LATS titre Thyroid scan USG Abdomen - If high - Secondary hypehyroidism - pituitary adenoma - Dx MRI head