A 67-year-old man was electively admitted to the hospital after needle aspiration of a nodule in his neck indicated the presence of follicular neoplasm. During routine physical examination two weeks earlier, a 2 cm nodule was palpated in the area of his thyroid gland. He had no history of palpitations, sweating, fatigue, dizziness, or recent weight loss.
His past medical history was notable for adult-onset diabetes mellitus, controlled by oral hypoglycemic agents. He had a longstanding history of hypertension, treated with metoprolol. He had smoked heavily for years and had occasional mild asthma.
Physical examination revealed a healthy-appearing man in no acute distress. Blood pressure was 140/90 mmHg, pulse 66/min and regular. Electrocardiogram (ECG) showed left anterior hemiblock. All other laboratory values were within normal limits, except for blood glucose of 281 mg/dl. Routine thyroid function tests indicated a euthyroid state.
The patient was scheduled for partial thyroidectomy.
KeywordsThyroid Hormone Thyroid Gland Thyroid Nodule Thyroid Surgery Malignant Hyperthermia
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