CASE PRESENTATION
By Dr.Nuzaha Fathima
PG 2nd year
Co-ordinator: Dr.Samanth Kumar
,CASE SCENARIO
• A 45 year old lady presented with swelling in front of neck and elevated TSH
values.
,• Patient age: 45 years old
• Signs: swelling in front of neck
• Investigations: Elevated TSH
, CAUSES OF ELEVATED TSH (THYROID
STIMULATING HORMONE)
Subclinical hypothyroidism
• Autoimmune (Hashimoto) thyroiditis
• Suboptimal treatment of overt hypothyroidism
• Partial thyroidectomy
• Radioactive iodine ablation
• External beam radiation of head and neck
By Dr.Nuzaha Fathima
PG 2nd year
Co-ordinator: Dr.Samanth Kumar
,CASE SCENARIO
• A 45 year old lady presented with swelling in front of neck and elevated TSH
values.
,• Patient age: 45 years old
• Signs: swelling in front of neck
• Investigations: Elevated TSH
, CAUSES OF ELEVATED TSH (THYROID
STIMULATING HORMONE)
Subclinical hypothyroidism
• Autoimmune (Hashimoto) thyroiditis
• Suboptimal treatment of overt hypothyroidism
• Partial thyroidectomy
• Radioactive iodine ablation
• External beam radiation of head and neck