MedBugs: SAQ #622

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Case: Hypothyroidism

An 8-year-old boy is brought to the Emergency Department by his parents due to lethargy, facial puffiness and worsening school performance over the past 6 months. His growth chart is shown below. You are concerned for hypothyroidism.

1. State (4) differential diagnoses for the growth chart findings. 4 marks

2. List (4) diagnostic tests you would order to confirm your clinical suspicion. Provide the expected result. 4 marks

The child is clinically stable.

3. Outline your ongoing management. 3 marks

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Case: Hypothyroidism

1. State (4) differential diagnoses for the growth chart findings. 4 marks

2. List (4) diagnostic tests you would order to confirm your clinical suspicion. Provide the expected result. 4 marks

3. Outline your ongoing management. 3 marks

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