A 40 year old man sees his physician because of weight loss, - ProProfs Discuss
Topics
Products
Follow Us:

A 40-year-old man sees his physician because of weight loss, increased appetite, and double vision. On physical examination, his temperature is 37.7°C, pulse is 106/min, respirations are 15/min, and blood pressure is 140/80 mm Hg. A fine tremor is observed in his outstretched hands. He has bilateral proptosis and corneal ulceration. Laboratory findings include a serum TSH level of 0.1 μU/mL. A radioiodine scan indicates increased diffuse uptake throughout the thyroid. He receives propylthiouracil therapy, and his condition improves. Which of the following best describes the microscopic appearance of the patient's thyroid gland?



A. Destruction of follicles, lymphoid aggregates, and Hürthle cell metaplasia
B. Papillary projections in thyroid follicles and lymphoid aggregates in the stroma
C. Follicular destruction with inflammatory infiltrates containing giant cells
D. Nodules with nests of cells separated by hyaline stroma that stains with Congo red
E. Enlarged thyroid follicles lined by flattened epithelial cells
Asked by Denver, Last updated: Dec 30, 2019

+ Answer
Request

1 Answer

John Smith

John Smith

Answered Sep 09, 2016

Papillary projections in thyroid follicles and lymphoid aggregates in the stroma-(b) the clinical findings in this case point to hyperthyroidism, and the increased, diffuse uptake corroborates graves disease as a probable cause because the tsh level is quite low. the thyroid-stimulating immunoglobulins that appear in this autoimmune condition...Read More
 

Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer

Email Sent
We have sent an email to your address "" with instructions to reset your password.