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Case Details
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Case Details
Graves Disease , Recurrence
Author: Dr. Hasan Altarrah
Published Date: 09/05/2026
Last Modified Date:
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Internal Medicine
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Additional Information:
CC:
eyes looks different, diplopia & neck swollen
Past medical history:
Thyroidectomy
Home medications:
Eltroxin
Areas to examine:
Hand, Face, Eyes, Neck and Legs
Description
Reviews
Description
Specific to Graves
Proptosis
Chemosis
Exposure keratitis
Ophthalmoplegia
Thyroid acropachy
Pretibial myxedema
Diplopia
Limited gaze
Hyperthyroidism
Thyroid stare
Agitation
Palmar erythema
Lid retraction & Lid Lag
Sweating
Sinus tachycardia
Brisk reflexes
Tremor
Atrial fibrillation
What Will You Do?
TSH
Free T4
Anti TSH antibody
Anti thyroid peroxidase
Endocrine consultation
Thyroid uptake scan : increased uptake of I131 in Graves’, low in thyroiditis
Severe Ophthalmoplegia
Steroid
Orbital irradiation
Surgery
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