WorksheetsThyroid Disorders
Total questions: 10
Worksheet time: 15mins
Case 1: A Rural Middle-Aged Woman
“Doctor saab, for the past few months, I’ve been so tired. Even after a full night's sleep, I wake up feeling drained. I’ve gained 4 kilos without eating much, and my skin feels so dry and cracked. I also feel colder than others, and my periods have become unusually heavy and longer.”
TSH: 9.2 mIU/L ↑
FT4: 0.4 ng/dL ↓
FT3: 190 pg/dL ↓
Primary Hypothyroidism
Primary Hyperthyroidism
Subclinical Hypothyroidism
Subclinical Hyperthyrodism
Case 2: College Student with Anxiety and Weight Loss
“Sir, I’ve lost nearly 5 kilos in one month despite eating more than usual. My hands shake when I try to write, I sweat constantly, and I can feel my heart pounding even when resting. I feel very anxious and easily irritated. My neck feels a bit swollen too.”
TSH: <0.01 mIU/L ↓↓
FT4: 2.9 ng/dL ↑
FT3: 470 pg/dL ↑
T3 Toxicosis
Euthyroid Sick Syndrome
Grave's Disease (Autoimmune Hyperthyroidism)
T4 Ingestion Disorder
Case 3: Office-Goer on Routine Checkup
“I feel mostly fine, doctor, but sometimes I get this uneasy heartbeat and mild tremors. It doesn’t disturb me much, but my company health report showed thyroid abnormality.”
TSH: 0.25 mIU/L ↓
FT4: 1.2 ng/dL (Normal)
FT3: 290 pg/dL (Normal)
Hashimoto's Thyroiditis
Subclinical Hypothyroidism
Subclinical Hyperthyroidism
Euthyroid Sick Syndrome
Case 4: Pregnant Woman – 1st Trimester
“I’m 6 weeks pregnant. I just wanted to check my thyroid because we’re planning this baby carefully.”
The doctor diagnosed him as Subclinical Hypothyroidism because in her TFT,
FT4 was normal, but (a) was high.
Case 5: Teenage Boy with Growth Delay
“Doctor, I’m always sleepy in class. My weight keeps increasing, but my height hasn’t changed much in a year. I’m not very active, and my mother says my voice seems dull. I also have occasional constipation.”
TSH: 12.5 mIU/L ↑
FT4: 0.5 ng/dL ↓
FT3: 180 pg/dL ↓
TSH Producing Adenoma
Subclinical Hyperthyroidism
Subclinical Hypothyroidism
Primary Hypothyroidism
Case 6: Elderly Man with Insomnia and Weight Loss
“I’m 70 and feel tired, but can't sleep at night. My heart beats very fast. I’ve lost 6 kilos without trying, and even in winter, I sweat a lot. My family says I seem restless and talk more than usual.”
TSH: 0.01 mIU/L ↓
FT4: 3.0 ng/dL ↑
FT3: 440 pg/dL ↑
Goiter
Central Hypothyroidism
Central Hyperthyroidism
T3 Toxicosis
Case 7: ICU Patient with Infection
“I was admitted for severe pneumonia. I’ve had no thyroid complaints before. I haven’t eaten properly in a few days and feel very weak. They said my thyroid tests are abnormal, but I don’t understand how.”
TSH: 0.4 mIU/L ↓
FT4: 0.7 ng/dL ↓
FT3: 130 pg/dL ↓
Primary Hypothyroidism
Subclinical Hypothyroidism
Euthyroid Sick Syndrome
Pituitary Adenoma
Case 8: Child with Constant Headache
“Doctor, I’ve been having frequent headaches, and my vision has become blurry, especially from the sides. I’ve also noticed weight loss and increased sweating. But the strange part is—my thyroid tests show high TSH and high hormones. How is that possible?”
TSH: 7.5 mIU/L ↑
FT4: 2.5 ng/dL ↑
FT3: 460 pg/dL ↑
T4 Ingestion Toxicosis
T3 Toxicosis
TSH-Secreting Pituitary Adenoma
Primary Hyperthyroidism
Identify the disease
Hashimoto's Thyroiditis
Exophthalmic Goiter
Pituitary Adenoma
Secondary Hyperthyroidism
In case of pituitary adenoma, there will be a condition in which the TSH, FT4, and FT3 will be?
(a)
