Normally, the thyroid is not visible or palpable. What is the medical term for t
ID: 305619 • Letter: N
Question
Normally, the thyroid is not visible or palpable. What is the medical term for thyroid enlargement? Is thyroid enlargement always linked to a hyperthyroidism or a hypothyroidism? What is the functional relationship of the thyroid with the parathyroid?
Personal Information
Name: Mr. Elliot Bryan
Age: 29 years old
Gender: Male
Description
Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well.
Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension.
On physical examination we found:
Remarkable Signs on Physical Exam by Regions
Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism
Neck: Thyroid is visible and palpable
Thorax: Barrel appearance
Abdomen: Hepatomegaly. Splenomegaly.
SOMA: Enlargement of the hands and feet. Generalized arthralgia.
Remarkable Signs on Physical Exam by Systems
Integumentary system: Thick and oily skin. Numerous acrochorda disseminated throughout the body.
Cardiovascular system: Blood pressure 150/100. Radial pulse 72.
Digestive system: Megaloglossia. Diastema.
Lab Tests
Complete blood count (CBC)
GH measurement
IGF-I measurement
Growth hormone suppression test
Glucose level
Brain MRI
Abdominal CT scan
Echocardiogram
Diagnosis
Acromegaly
Explanation / Answer
Enlargement in thyroid gland known as Goiter
May associated with hypothyroidism,hyperthyroidism and normal thyroid function
Both thyroid and parathyroid are endocrine gland situated in neck
Thyroid gland release 3 hormone T3,T4,calcitonine,T3 and T4 maintains BMR and body temparature also
Calcitonine increase calcium in bone and bone get strong
Parathyroid gland release parathyroxine hormone realease calcium from bone to blood resulting reduce strength of bone may cause fatigue
Parathyroxine and calcitonine have opposite action
Related Questions
drjack9650@gmail.com
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.