A 33 Year Old lady (Ocimum Americanum L) with hypothyroid problem presenting with a leg pain and high TSH

Patient Name -- Ocimum Americanum L - 2 Age - 33 y Sex - F

Height- 4' 8'' Weight- 57 kg Waist 92 cm Chest 102 cm

BP- 124/80 mm Hg Pulse- 69/min Fasting sugar 86 mg/dl

Case story in patient's perspective:

1. I never had any problem during childhood.

2. My periods were started at the age of 12 and had no problem at that time.

3. I got married at the age of 16 and gave birth to a child right after 2 years of marriage by normal delivery.

4. I did abortion of three (3) fetuses, two by taking drugs and one through washing.

5. In 2015, some of my relatives were telling that "you seems to be swelling and you should get a consulation from a doctor". I took their advice and went to visit a nerve doctor. Doctor asked to do a thyroid test which revealed TSH 10.6 (At 21.11.2016) and he (doctor) prescribed a thyroxine 50+12.5 mcg tablet before breakfast.

6. After taking the medicine, the swellings were reduced but from last 27.08.2017 I have follwoing problems-

- Numbess and pain in the back of head.

- Pain in the sole of feets after prolonged walking and when I am lying down

in the bed.

- Can not hold my hands straight for a long time.

- Have mild pain/discomfort at the middle of the vertebral column.

7. I have a problem of hyperacidity, can not sleep well at night, have less appetite, can not pass stool clearly, do pass urine but it is foul smelled.

Comments

Consent Forms

Hindi BMJ Consent form Bengali BMJ Consent form English BMJ Consent form Telegu BMJ Consent Form Telegu BMJ Consent Form UDHC Consent Form

57 Year Old female with goiter and thyrotoxicosis

This 57 year olf lafy presented with neck swelling, anxiety and tremor. Her medical information is attached below: We need to take a decision on this lady. To operate or not to operate. Now that our clinical suspicions of thyroticosis have been proved and malignancy not proved (not disproved either) what would be the next best step? Medical management for her thyrotoxicosis or still get an excision biopsy with sub total thyroidectomy (and subtotal thyroidectomy other than disproving malignancy will also become treatment for her hyperthyroidism). So which one should we prefer (if the family has no reservations from their side)?

60 year old woman with hypothyroidism and SIADH

This patient is a 60 year old woman with recent vomiting, coma (sodium 107) and clinical features of dull apathy, skin coarsening, bradycardia, areflexia strongly suggesting hypothyroidism. Serum osmolality and urine sodium are suggesting SIADH. Thyroid profile: Our patient's current dose of sodium is 10ml per hour and she is having mild hypotension at times and in her blood sugar recordings hypoglycemia (attached below) was noted. In brain imaging, empty Sella is noted (attached below). Most of the data we have till now is suggesting hypopituitarism Online Discussion:

BMJ Elective Case Log

Search This Blog