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42 yo F presents with a 7-kg weight loss over the past two months. She has a fine tremor, and her pulse is 112. What the diagnose?

Answer :

The symptoms presented; the most likely diagnosis would be hyperthyroidism. This condition occurs when the thyroid gland produces too much thyroid hormone, leading to an increase in metabolic rate and resulting in symptoms such as weight loss, tremors, and a rapid heart rate tachycardia.



The fine tremor is a characteristic symptom of hyperthyroidism and is often seen in the hands and fingers. The weight loss could be a result of an increase in metabolic rate, which can cause the body to burn calories more quickly. The elevated pulse is also a common finding in hyperthyroidism, as the excess thyroid hormone can stimulate the heart to beat faster. Other symptoms of hyperthyroidism can include heat intolerance, increased sweating, anxiety, and fatigue. A blood test to measure thyroid hormone levels, particularly TSH (thyroid-stimulating hormone) and T4 (thyroxine), would be needed to confirm the diagnosis. Treatment options for hyperthyroidism include medication to block the production of thyroid hormone, radioactive iodine therapy to destroy the thyroid gland, or surgery to remove the thyroid gland. The choice of treatment depends on the underlying cause of the hyperthyroidism and the severity of the symptoms.

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