Q:

Hyperthyroidism results from all of the conditions noted below. Of the following which commonly require surgical management?

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Hyperthyroidism results from all of the conditions noted below. Of the following which commonly require surgical management?


  1. Graves’ disease
  2. Struma ovarii
  3. Functioning metastatic thyroid carcinoma
  4. Toxic diffuse goiter
  5. Single toxic thyroid nodule

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a. Graves’ disease

d. Toxic diffuse goiter

e. Single toxic thyroid nodule

Hyperthyroidism is associated with clinical manifestations related to an excess of thyroid hormone. There are three causes of primary concern to the surgeon. Graves’ disease, or toxic diffuse goiter, is most common, accounting for more than 80% of all patients with hyperthyroidism. The other two relevant causes of hyperthyroidism are toxic nodular goiter and a single toxic nodule. Common causes of hyperthyroidism that rarely require surgery are postpartum thyroiditis, iodine-induced hyperthyroidism, self-administered or iatrogenic hyperthyroidism, struma ovarii, functioning metastatic carcinoma and several rare forms of thyroiditis.

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