A 40 year old female
presents with a complaint pain in her throat on swallowing of 2 weeks
duration. She also complained of a low grade fever. Her GP had treated her
with a course of antibiotics but this had not relieved the symptoms. There was
no history of foreign body ingestion, cough, haemoptysis or change in voice.
On examination she was febrile, speech was normal; pulse was 136/min.
Examination of the throat did not reveal any abnormality. The thyroid gland
was diffusely enlarged and tender.
T3 6.4 nmol/L
T4 275 nmol/L
TSH 0.2 mU/L
patient the most likely diagnosis is:
de Quervain’s thyroiditis
Toxic nodular goitre