02-03-2005, 07:07 AM
30 y male in u office w . 2 cm.sweling in front of his neck.
No dysphagia,no fever,no diarhia,no family Hx of simular problem.
Exam firm nodule,move w. deglutation, PR 80/min.![Smile Smile](https://www.usmleforum.com/images/smilies/smile.png)
BP 120/70,........NL
U order TSH = 0.5
Nex step in the managm.
1.Repear TSH in 2 mounts
2.Mesure TSH,T4 ,T3
4.Radionucl.scan
5. Fine needle asp
6. Thyroid-sono
No dysphagia,no fever,no diarhia,no family Hx of simular problem.
Exam firm nodule,move w. deglutation, PR 80/min.
![Smile Smile](https://www.usmleforum.com/images/smilies/smile.png)
BP 120/70,........NL
U order TSH = 0.5
Nex step in the managm.
1.Repear TSH in 2 mounts
2.Mesure TSH,T4 ,T3
4.Radionucl.scan
5. Fine needle asp
6. Thyroid-sono