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Clinical CPD topic

Hyperthyroidism: practise, reflect and record

Practise hyperthyroidism through five clinical cases, review the explanations and build a professional learning record. Recognise Graves disease and select TRAb testing to clarify the cause of thyrotoxicosis.

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What you’ll work on

  • Recognise Graves disease and select TRAb testing to clarify the cause of thyrotoxicosis.
  • Distinguish rapid beta-blocker symptom relief from initial antithyroid drug treatment.
  • Select the preferred antithyroid drug during the first trimester.

Think through a clinical case

Decide how you would approach this case before opening the question session.

A 35-year-old woman presents with palpitations, sweating, anxiety, and weight loss despite an increased appetite. On examination, she has a fine tremor, tachycardia (110 bpm), and a smooth diffuse goitre. TSH is suppressed (<0.01 mU/L) and Free T4 is elevated (35 pmol/L). TSH receptor antibodies (TRAb) are positive. What is the most likely diagnosis?

A case from the UKMLA question bank. The session provides the answer and explanation after your attempt.

From a decision to a learning record

  1. Test your reasoning. Answer five questions from this topic’s clinical-content library.
  2. Explore the gaps. Review explanations and use Tutor to work through decisions that need more thought.
  3. Reflect on application. Describe what you learned and what you would change or investigate.
  4. Review your evidence. Confirm the activity and time spent, then retain or export your professional record.

Primary sources and further reading

Read the source in the same jurisdiction as your question session.