Case Study 6- Endocrine System

April 21, 2008 on 1:24 pm | In Anatomy/Physiology | 12 Comments

A young girl is brought to the clinic by her father. The girl fatigues easily and seems mentally sluggish. You notice a slight swelling in the anterior neck. What condition do you suspect? What are some possible causes and treatments?


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  1. We believe that the girl has a goiter. This is caused by lack of iodine in your diet. A goiter is an inflammation of the thymus gland around your Adam’s apple. It could also be a tumor, but it is rarely cancerous. Most people who contract it in the U.S. have hypothyroidism. The treatment for the goiter depends on the underlying cause.

    Comment by Madeline M. Raven A. — May 5, 2008 #

  2. The young girl who is expieriencing fatigue, and frequent swelling in her neck might have Grave’s Disease. This disease is caused by over activity of the thyroid hormone, causing hyperthroidism. The thryoid helps set the rate of metabolism,and if it’s too actuve it makes and excessive amount of throid hormones, causing the neck to swell. This is common in some women affecting two percent and there are several treatments for the disease. There are antithyroid drugs that can lower the amount of thyroid hormone produced. Another alternative is removing the thyroid gland in surgery.

    Comment by Claire M and Ashley C — May 5, 2008 #

  3. I believe the girl has been mentally sluggish, has swelling in her neck, and she fatigues easaly to to a hormone imbalance in her thyroid gland located in the neck.The thyroid controls how quickly the body burns energy, makes proteins, and how sensitive the body should be to other hormones. Obviously the girl is becoming fatigued because her thyroid is making her body burn up too much energy too fast. The swelling in the neck must be swelling of the thyroid gland. Taking hormone pills such as T3 and T4 tablets daily should regulate her bodys hormones fixing all her problems

    -Dr. George Henry Louis Alexander IV

    Comment by George C. and Sydney H — May 5, 2008 #

  4. This disease is most likely graves disease because of the symptoms the girl has. The swelling in the neck is a major symptom of graves disease, and is also accompanied by fatigue. It is caused by an excessive amount of thyroid hormones. This can be treated in two steps. The first includes medical treatment such as high doses of steroids, surgery, and radiation. This can take up to two years. The second step includes correcting vision. The patient must stop smoking for this disease to be treated.

    Comment by Claire G. and Alissa D. — May 5, 2008 #

  5. We suspect that the young girl may have Graves’ disease. Graves’ disease is caused when antibodies attack the thyroid gland, which causes excessive amounts of thyroid hormones to be released. The sweling of the neck, also referred to as a goiter,is explained by the enlargement of the thyroid gland. Other symptoms incude fatigue,mental impairment,and swollen eyes. Treatments include antithyroid drugs, radioiodine, and surgery. We suggest antithyroid drugs to first treat her symptoms, but if that is not successful surgery could be the next option.

    Comment by Merritt M.and Hope B. — May 5, 2008 #

  6. Case study number six reveals that the child in question has Grave’s Disease. Grave’s disease is caused by the attack on the thyroid gland by antibodies or excess amount of thyriod hormones. Some sympotoms of this disease include: fatigue, swelling of the neck, rapid heart beat, irriability, severe weight loss without dieting, etc. The child was experiencing slight swelling in the neck, fatigueness and mental sluggishness pointing towards Grave’s disease as the diagnosis. Treatments for this disease include: Medicine called anithyroid drugs, Radioactive iodine or sugery in which the thyroid gland is removed.

    Comment by Laren S. and Connor W. — May 5, 2008 #

  7. This young girl is diagnosed with Grave’s disease. Swelling in the neck and becoming mentaly sluggish and fatigued are symptoms and why we believe she has Grave’s disease. Treatment can include antithyroid drugs which reduce the production of thyroid hormone.Treatment can be given from 6 months to 2 years.

    Comment by Haley G and Lindsey S — May 6, 2008 #

  8. I would diagnose this girl with Graves Disease. This disease is caused by enlargement and hypersecretion of the thyroid gland. It is characterized by fatigue, protruding of the eyes, and swelling of the neck. For treatment, I would recomend use of antithyroid drugs such as propylthiouracil or methimazole. Other options would include Radioiodine or surgery.

    Comment by Alex T — May 6, 2008 #

  9. The possible diagnosis could be Grave’s disease. The cause of Grave’s disease where is antibodies attack the thyroid gland. There is an excessive amount of thyroid hormones. The symptoms of Grave’s disease are restlesness, fatigue, protruding eyes, and swelling in the neck. Swelling in the neck is called a groiter, with this, the thyroid gland is enlrged so he neck appears to protrude.

    Comment by Syleah Alle — May 6, 2008 #

  10. (this is suppose to go with my previous comment)
    Treatments for Grave’s disease include, radioactive iodine to destry part of the thyroid gland, drugs to inhibit the growth of the thyriod gland (Tapazone & propylthiouracil), or surgically remove a part of the thyroid gland.

    Comment by Syleah Allen — May 6, 2008 #

  11. By observing the young girl’s symptoms we believe she is suffering from Graves’ disease. This disease is described by restlessness, overeating, and enlargement of the thyroid gland. She has slight swlling in the neck, which is known as a goiter, and is a result of an excessive amount of thyroid hormones. Some treatments could include antithyroid drugs which could reduce the production of thyroid hormones, or therapy with radioiodine, which is most common.

    Comment by Samantha E & Kathryn B — May 6, 2008 #

  12. Case Study #6: The Endocrine System

    By looking at the young girl’s swelling of the neck and noticing her overall fatigue and tiredness in general, the doctor could ultimately diagnose her with goiter. When examining the neck, a doctor can determine the degree of gland enlargement and the areas of tenderness that seem to bother her. Diagnosing the swelling, or goiter, may also involve: a hormone test to determine the amount of hormones produced by her thyroid and pituitary glands, an antibody test, or a thyroid scan. Once diagnosed, a goiter is simply an enlargement of your thyroid gland (located just below your Adam’s apple). Hormones produced by your thyroid gland regulate all aspects of your metabolism, from the rate at which your heart beats to the speed at which you burn calories. Goiter can unfortunately interfere with swallowing or breathing. Although the causes are numerous, the treatment can be simply what your doctor advises. The doctor might recommend observation by watching the size of the goiter, medications for thyroid hormone replacement, surgery to remove part of your thyroid gland, and in some cases radioactive iodine to treat an overactive thyroid gland.

    Comment by Kayla V. & Emily O. — May 6, 2008 #

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