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Question

All of the following can be seen in a case of thyrotoxicosis, EXCEPT:

The correct answer is
Deafness

Thyrotoxicosis Manifestations Explained

Thyrotoxicosis, or an overactive thyroid, affects multiple body systems. Understanding its common complications is crucial for diagnosis.

Conditions Associated with Thyrotoxicosis

Several conditions commonly occur alongside thyrotoxicosis:

  • Atrial Fibrillation: Increased heart rate and contractility due to excess thyroid hormone can trigger arrhythmias like atrial fibrillation.
  • Periodic Paralysis: Particularly in certain populations (e.g., Asian men), hyperthyroidism can precipitate episodes of hypokalemic periodic paralysis.
  • Osteoporosis: Thyroid hormones influence bone metabolism. Excess hormone accelerates bone turnover, leading to decreased bone density and osteoporosis.

Condition NOT Typically Seen in Thyrotoxicosis

Deafness is not a recognized direct complication or common symptom of thyrotoxicosis. While hearing can be affected by various medical conditions, there is no established link between hyperthyroidism and deafness.

Conclusion for EXCEPT Question

Based on typical clinical presentations, deafness is the finding that would NOT be expected in a patient with thyrotoxicosis, unlike atrial fibrillation, periodic paralysis, and osteoporosis.

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Important Questions from Thyroid Disorders

  1. Pretibial myxedema is a clinical feature of:
  2. A 24 year female presented with generalized weakness. Her thyroid function test is as follows. Serum $T_3$ = Normal, $T_4$ = Normal, TSH = 10mU/L. What is the most likely diagnosis?
  3. A 30-year woman in first trimester of pregnancy has Graves' disease. The treatment of choice is:
  4. Which one of the following statements is NOT true regarding the thyroid function/disorder in pregnancy?
  5. A young lady presents in outdoor clinic with complaints of menstrual irregularity, weight gain, hair loss, tiredness and weakness. What will be the investigation of choice?
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