Log of Patients and Clinical Conditions

Student’s Name: Abdulrahman Mohammad Sadeq ID: 210121012

Level/Semester SEM6 Group: C6b
Date: 29/5/2024

Word/department: Endocrine department Patient’s Gender: Female Age: 36 ID: N/A

Presentation A woman presented with a painful palpable mass in her central neck region, that she noticed 1 weeks ago

Examination On examination, the thyroid was warm to touch and was tender to palpate. With redness and erythema
all around the mass. On auscultation no bruits were noted. The patient had low grade fever and
tachycardia. The patient mentioned a few symptoms such as fatigue, body pain, malaise, and anorexia,
with unintended weight loss, excessive sweating, and restlessness.

Investigations The treating physician required Thyroid Hormones levels (T3 + T4) with TSH levels and (Albumin : Globulin)
ratio, with ESR and CRP. The LAB tests revealed Significantly elevated Thyroid Hormones with subsequent
suppression of TSH coupled with an increase in ESR (72) and elevated CRP levels.

Diagnosis Based on given history and lab results, the patient was diagnosed with Subacute Thyroiditis (de Quervain
thyroiditis).
Treatment Anti-inflammatory ttt, Salicylic Acid 600mg orally every 6 hours, Ibuprofen 800mg/day.
Beta Blockers (propranolol) was prescribed for the hyperthyroid manifestations.

Page 1 of 1 Prepared by Prof. Amal Abd El hafez, Faculty of Medicine, Mansoura University
Learning points When a patient presents with a painful neck swelling with associated Sympathetic hyperactivity, you
should suspect Thyroiditis.
Action plan The patient’s symptoms were stabilized, and she was put on BBs and NSAIDs until her symptoms resolves,
and if hypothyroidism is a complication; a subsequent prescription of Levothyroxine will be ordered.
Follow-up 2 weeks from date of discharge.

Page 1 of 1 Prepared by Prof. Amal Abd El hafez, Faculty of Medicine, Mansoura University