A Retrosternal Goiter
Journal Title: BMH Medical Journal - Year 2017, Vol 4, Issue 3
Abstract
An 80 year old lady was evaluated for chronic cough with breathlessness of 5 years duration. She was on multiple medications for the same with little benefit. She has been hypertensive and is controlled with Amlodipine 5 mg daily. No family history of diabetes mellitus, cardiac or thyroid disease and not on any other medication. Physical examination revealed grade I goiter more on left side. No cervical lymphadenopathy. Thyroid function test revealed Serum total tri-iodothyronine 109.71 ng/dl, total thyroxin 10.92 ng/dl and TSH 0.27 UI u/ml. ECG was normal. X-ray Chest PA View showed a right paratracheal non-homogenous opacity .
Authors and Affiliations
Hariprasad Imandi, Bhargavan Pallivalappil
Has History Taking Become a “History”?
We all know that these days, many spinal surgeries are done for back pain or sometimes spinal fusions are done following spinal canal decompression. We also know that back pain is very common in the general population. W...
Ebola Virus Disease
Ebola virus is named after the river in the former Zaire where a haemorrhagic fever initially identified in 1976 involved human to human transmission, as well as spread by contaminated injection equipments. Ebola virus c...
Case of Wellens’ Syndrome - A Cautionary Tale
Wellens’ syndrome is characterised by distinctive ECG pattern with T wave abnormalities in V2 and V3 leads. It is considered an ominous ECG sign as it is associated with critical stenosis of left anterior descending arte...
Post Operative Cognitive Dysfunction (POCD) in Geriatric Population
Post-operative mental dysfunction and confusion in aged patients is a well recognized entity. Commonly known as post-operative delirium and cognitive dysfunction (POCD), these are important for any peri-operative physici...
Versatility of Ketamine
In the present day anaesthesia practice, ketamine is not routinely used as an induction agent. But it is a popular pharmacological agent in variety of pain conditions from nociceptive to neuropathic pains and for paediat...