Thyrotoxicosis

Master the patient approach to thyrotoxicosis through our interactive clinical case with clear visual guides.

THYROID

Case presentation

A 29-year-old female is referred to the endocrinology department by her primary care physician after laboratory findings revealed hyperthyroidism. The test has been performed, after the patient experienced palpitations and nervousness for about eight to ten weeks. Her medical report does not indicate any illnesses or medications.

Initial laboratory testing performed in the primary care practice:

Free T4 (fT4): 58 pmol/L (Normal: 9–20 pmol/L)

Free T3 (fT3): 14 pmol/L (Normal: 3.5–6.5 pmol/L)

TSH: <0.01 mIU/L (Normal: 0.4–4.0 mIU/L)

Referral &
Emergency
Evaluation
History
Exam
Diagnostics
Management
Follow Up
Illustrations

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References

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“2021 European Group on Graves’ Orbitopathy (EUGOGO) Clinical Practice Guidelines for the Medical Management of Graves’ Orbitopathy | European Journal of Endocrinology | Oxford Academic.” Accessed August 3, 2025. https://academic.oup.com/ejendo/article/185/4/G43/6654384.

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