neck swelling”
A 42-year-old African American female who refers that she has bee
neck swelling”
A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
Patient denies past medical history
Surgical removal of benign left breast nodule 2 years ago surgical history
No medication at the time
NKDA
Subjective Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
Objective Data
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT-Bulging eyes
Neck- Diffuse enlargement of the thyroid gland
LungsCTA AP&L
Cardio- S1S2 without rub, Tachycardia
Abdomen- benign, normoactive bowel sounds x 4
GU- Non contributory
Extremities- no cyanosis, clubbing or edema
Integumentary- Thin skin, Increase moisture
Neuro- No obvious deficits and CN grossly intact II-XII
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms.
Give rationales for each differential diagnosis.
