Question

A 22-year-old woman presents with a 2-month history of fatigue, weight loss, heat intolerance, and palpitations. Examination reveals a diffuse goitre with a bruit and mild exophthalmos. TSH is undetectable and free T4 is elevated. What is the most likely diagnosis?

Accepted Answer

Graves disease

Answer

Subacute (de Quervain) thyroiditis

Answer

Toxic multinodular goitre

Answer

Exogenous thyroid hormone ingestion

Answer

Hashimoto thyroiditis

Practice question

A 22-year-old woman presents with a 2-month history of fatigue, weight loss, heat intolerance, and palpitations. Examination reveals a diffuse goitre with a bruit and mild exophthalmos. TSH is undetectable and free T4 is elevated. What is the most likely diagnosis?