A 29-year-old female presents with palpitations, increased sweating, and unintentional weight loss despite a good appetite. She also reports difficult swallowing and voice changes. All the symptoms have been developing over the past 6 months. The patient has no concurrent illnesses and takes no medications. Her vital signs are as follows: blood pressure 125/80 mm Hg, heart rate 106/min, respiratory rate 15/min, and temperature 37.0℃ (98.6℉). Physical examination is significant for increased perspiration, fine digital tremors, and a small mass at the posterior aspect of the tongue which moves along with the tongue movements. There is no neck swelling. Laboratory thyroid workup shows the following results:
|Triiodothyronine (T3)||191 ng/dL (2.93 nmol/L)|
|Thyroxine (T4), total||22 µg/dL (283.1 nmol/L)|
|Thyroid-stimulating hormone||0.2 µU/mL (0.2 mU/L)|
A 99 mTc thyroid scan reveals hyperfunctional thyroid tissue at the base of the patient’s tongue. Which the following statements is correct?
A 9-year-old boy presents with abdominal pain which started almost 6 hours ago. The pain is located in the periumbilical area and radiates to the right lower quadrant. There was no vomiting or stool passage since the pain onset. The patient reports that he passed stools with blood several times during the past month. The patient’s vital signs are as follows: blood pressure 110/70 mm Hg, heart rate 81/min, respiratory rate 16/min, and temperature 37.5℃ (99.5℉). Physical examination reveals abdominal tenderness and guarding in the periumbilical area. Abdominal ultrasound does not reveal any abnormality with appendix. The patient is taken for exploratory laparoscopy. On laparoscopy, a 2-cm wide inflamed diverticulum is found 40 cm proximally to the ileocecal valve. It is resected and sent for histological evaluation. The result is shown in the exhibit. Which of the following statements is true?
A healthy 37-year-old woman (gravida 3, para 1) who undergone in-vitro fertilization delivers vaginally a boy. On examination, he is found to have his urethral meatus opening placed on the ventral side of the penis just under its head. Which statement about the patient’s condition is correct?