| Provisional Diagnosis | - | Hypothyroidism/Thyroiditis
?Myasthenia Gravis
| |
| Final Diagnosis | - | Neuromyasthenia
Thyroiditis
Vit D def state | |
| History and Findings | - | A k/c/o Hypothyroidism since 2008
Comprehensive check up AIMS 2/02/09-TMT Neg,DLP-On Rx
Wt loss/Tiredness/Lethargy/Muscle weakness/Cold intolerance/hair fall since Jan 2011.
Pain both shoulders/Hips since 2009
| |
| Investigation | - | Hb-12.5,ESR-14,CRP-0.24,HBA1c-5.1%,Creatinine-0.7,Uric-4.1,ca-9.4,A/g-4.78/3.5,LFT-Normal,Cortisol-7.4,TSH-3.86,ATg-71.15,TPO-973.56,FT3-2.24,Na-139.2,K-3.8,Stool fat +ve,OB-Neg,25(OH)vit D-13.93,Urine-N,ECG-Wnl,RAF-Neg,ASO-Neg,Cxr-N,no e/o thymonma,NCV & RNS studies normal,anti acetylcholine receptor antibody (Ach R ab)<0.15(NR-0.25-0.40) | |
| Treatment | - | Continue LT4 as before
Calcirol
Milical
Daxid(Sertaline) | |
| Follow Up | - | Since pt is in US adv to contact by phone regarding dose adjustment | |
Durga Nair ,29yrs/F 11/11/11
doctor bhaskaaran
wkfvcepdupscibtlbsbo, http://www.lmyhjkaety.com iaroburchp
Website: www.optuyeohdu.com/Latest from doctor bhaskaaran
Login to post comments
