Young woman with subacute palpitations, anxiety, weight loss, heat intolerance, diarrhea, lid lag and exophthalmos with a large, nontender thyroid gland with diffuse increased uptake and low TSH with increased T4 levels, most consistent with Graves’ disease
Graves disease and other forms of hyperthyroidism should be treated with propylthiouracil or methimazole
Key idea: All causes of hyperthyroidism can lead to lid lag and lid retraction secondary to sympathetic activation of the superior tarsal muscle, but Graves specifically leads to exophthalmos and impaired extra-ocular motion due to glycosaminoglycan deposition behind the eyes
submitted by ∗seagull(1933)
Order of treatment for acute hyperthyroid symptoms
Beta Blocker --> PTU---> Radioactive Iodine
Beta blocker wasnt an answer option but would be correct if given.