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A 45-year-old woman complains of a two-month history of fast heart rate and palpitations.

Diagnosis

A 45-year-old woman comes into your office complaining of a two-month history of fast heart rate and palpitations. She also notes sweating and nervousness. In addition, she complains of a swelling in the lower portion of her neck. Examination reveals a diffuse goiter.
Thyroid Stimulating Hormone (TSH) is reduced. Thyroid levels t3 and t4 are elevated.


What is your diagnosis?





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