I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Friday, October 31, 2008
Happy Halloween
This woman presented asking for medication for anxiety. She just can't stop shaking. She keeps staring at you.
Challenge: What Halloween related word describes this disease?
This is Graves’ disease with exophthalmos. Note the widened palpebral fissure, periorbital edema, proptosis, chemosis, and conjunctival injection. Graves’ disease, the most common cause of hyperthyroidism, is an autoimmune disorder resulting from thyrotropin (TSH) receptor antibodies which stimulate thyroid gland growth and thyroid hormone synthesis. Along with typical signs and symptoms of hyperthyroidism, Graves’ disease can also involve pretibial myxedema (raised, hyperpigmented, violaceous orange-peel texture papules overlying shins). Treatment is with a thionamide (methimazole or propylthiouracil), radioiodide ablation, or surgery.
This woman presented asking for medication for anxiety. She just can't stop shaking. She keeps staring at you.
Happy Halloween
ReplyDeleteThis is Graves’ disease with exophthalmos. Note the widened palpebral fissure, periorbital edema, proptosis, chemosis, and conjunctival injection. Graves’ disease, the most common cause of hyperthyroidism, is an autoimmune disorder resulting from thyrotropin (TSH) receptor antibodies which stimulate thyroid gland growth and thyroid hormone synthesis. Along with typical signs and symptoms of hyperthyroidism, Graves’ disease can also involve pretibial myxedema (raised, hyperpigmented, violaceous orange-peel texture papules overlying shins). Treatment is with a thionamide (methimazole or propylthiouracil), radioiodide ablation, or surgery.
Sources: UpToDate; www.thyroidmanager.org.
i think its pererbital edema .....so it could be hashimotos thyriditis
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