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chief complaint: neck swelling
history of present illness: A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction
history: Surgical removal of benign left breast nodule 2 years ago
subjective: Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations
B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6
General42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT
Bulging eyes
Neck
Diffuse enlargement of the thyroid gland
Lungs
CTA AP&L
Cardio
S1S2 without rub, Tachycardia
Abdbenign, normoactive bowel sounds x 4
GU
Non contributory
Ext
no cyanosis, clubbing or edema
Integument
Thin skin, Increase moisture
Neuro
No obvious deficits and CN grossly intact II-XII
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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