Topics for Residents and Medical Students
There was no response to antibiotics or antidepressant medication. On examination, she was found to have a deep, gruff voice, periorbital edema, 40 gram goiter, and delayed AJRP. Cholesterol, CPK, and MCV were elevated. Extreme TSH elevation of 417 mU/L and decreased T4 of 1.7 ug/dL confirmed the presence of severe hypothyroidism. ................
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