Case Studies

CC: sore throat and chest pain
HPI: 37-year-old female patient in clinic complaining of sore throat and chest pain.

Patient last seen in the clinic for Amenorrhea. Past medical history UTI, headache, neck pain, pelvic pain, UTI, HSV, hyperlipidemia, and goiter. Mass noted on the left side of the throat history of Goiter. Complained of difficulty swallowing sore dry throat. Food has to be eaten in small bites. Noted new nodule on the right lower side of the original goiter for 1 month. Denies difficulty in breathing, or problems with managing saliva. Denies having any radiographic studies done.

Also complaints of sternal intermittent chest pain during the daytime describe it as uncomfortable. Seems to be worse in between meals. Feels like indigestion or gas sometimes.

1. What is your diagnosis?

2. What labs or procedures are you running to confirm your diagnosis?

3. What are your recommendations for the patient?

4. What are the causes of goiter?

 creating too much hormone, known as hyperthyroidism

 creating too little hormone, known as hypothyroidism

 iodine low or high

 All of the above

5. Thyroid nodules are always cancerous.

 True

 False

6. Who is most likely to have a goiter?

 White transgender Male 40

 Black male 25 yo

 A biracial male 32 yo

 Asian Female 37 yo

7. A patient with goiter should be referred to:

 Surgery

 ENT

 Endocrinologist

 Any of the above

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Question 1 of 7

A FACT SHEET FROM THE OFFICE ON WOMEN’S HEALTH. (2023). Thyroid disease. Retrieved from https://www.womenshealth.gov/a-z-topics/thyroid-disease

NIH. (2023). Iodine. Retrieved from https://ods.od.nih.gov/factsheets/Iodine-HealthProfessional/

American thyroid association. (2023). Thyroid function test. Retrieved from https://www.thyroid.org/thyroid-function-tests/