A graduate student has noticed that despite numerous unhealthy snacks weekly as a method to cope with their studies, they are losing weight. They attributed the faster pulse and “jitters” to the cups of coffee, several Red Bull drinks, and No Doz pills used to pull all-nighter study sessions. At first, they thought any nervousness was anxiety about school, but they present today believing “the stress” of school is so high they have trouble sleeping, cannot sit still, and is having problems concentrating. They have a sore throat that is different from a typical one because it appears to hurt only on the anterior aspect of the neck, not deep in the posterior mouth.Which thyroid disorder(s) comes to mind?What labs/imaging need to be ordered?What medication alternatives need to be considered when you discover that they are 3 months pregnant?What other differential diagnoses come to mind?
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