PI : A 31-year-old woman who felt a painless mass in her neck and after 4 months, she visited a doctor
PMH : hypothyroidism in pregnancy
DH : neg
FH : hypothyroidism (her sister)
Case 2
•CC : neck pain
•PI : A 41-year-old woman with a history of pain in her neck that radiated to her ear in right side
•PMH : neg
•DH : neg
•FH : neg
14/11/1403 DR Rahimi
Case 1
•Present illness:
•A 48-year-old woman with large unilateral thyroid nodule
•Underwent total thyroidectomy 2 years ago
•PMH: (-)
•DH:
•Tab levothyroxine 800mcg-weakly
•Tab calcium carbonate 500mg-daily
• Tab Calcitriol 0.25mcg-daily
Case 2
•Presenstilleness:
The patient is a 57-year-old woman with hypothyroidism since 20 years ago.
following the palpation of thyroid nodule, the patient underwent further diagnostic evaluations.
•PMH: IHD(+), HTN(+), Hypothyroidism(+)
•DH:
Tab levothyroxine 700 micg weakly
Tab Valsomix 80/5 mg daily
Tab ASA 80 mg daily
Tab Atorvastatin 20 mg daily
11/09/1403 DR Zardooz
Case 1
A 64 years old woman with a history of osteoporosis since 14 years ago (alendronate usage for 5 years) with normal calcium & phosphor levels and PTH ~ 90 – 150 and no history of renal failure, renal stone or fracture
FH :colles and scapular fracture in her mother
PMH : hyperthyroidism, osteoporesis, DM
DH : metformin 500 BD
methimazole 15 mg /W
alendronate 70 mg EOW
calcitriole 0.25 D
ca-D D
Hydrochlorthiazid 25mg D
rosuvastatin 20 D
valsomix 160-5 D
Case 2
A 62 years old woman with a history of total thyroidectomy 5 years ago (with Dx of MNG) but didn’t fallow up the pathology of thyroidectomy
PMH : HTN
DH : valsomix 160-10 D
Ca_D D
alendronate 70/ W
Mebendasole 100
FH: neg
CC:left upper limb pain and parestesia from 1 year ago
13/08/1403 Dr Hoseingholizdeh
Case 1
ID: 8 years old baby girl (date of birth : 1395.9.14)
CC: hypocalcemia
PI: attacks of seizure with hypocalcemia
PMH : congenital hypothyroidism
FH: hypothyroidism in her aunt and grandmom
DH: levothyroxine 400 µg /w
Case 2
vA 25-year-old female first presented with a generalized seizure associated with hypocalcemia , and elevated serum intact PTH at the age of 4 years.
vAHO features
vShe was clinically diagnosed as PHP1a and treatment
vAt 17 years, her serum calcium level exceeded 10 mg/dL and serum intact PTH levels rise from 379 to 510 pg/mL.
vDespite reduction of alphacalcidol doses her serum intact PTH levels increased further from 567.5 to 1507 pg/mL
vImaging studies revealed a hyperfunctioning left inferior parathyroid gland consistent with a diagnosis of tertiary HPT and she was conservatively managed with medical monitoring alone and remains asymptomatic more than 8 years later.
Case 3
ID : 33 years old woman , single , from Tehran
CC : Thyroid nodule
PI : she had irregular menstrual cycle from 1400 (spotting & oligomenorrhea )
PMH: negative
FH : negative
DH: negative
1403/06/11 Dr Babazadeh
Case 1
A 73-year-old woman with sudden swelling without pain and weight loss and fever and night sweats since two weeks before visiting
PMH : prediabetes , depression
DH : SSRI
FH : NEG
Case 2
•A 68 years woman Known case of thyrotoxicosis and MNG
•DH : methimazole( at least since 5 y ago ) , atorvastatin , losartan
•PMH : asthma ,HLP, HTN
•NO Pemberton sign and flashing and headache
Case 3
39 years old woman known case of pancreatic NET , hyperparathyroidism , pituitary microadenoma ( CLINICAL DIAGNOSIS MEN1)
Distal pancreatectomy (1403.02)
1403/05/14 Dr Mahmoodpour
Case 1
•ID: A 62 year-old man, married, from tehran
•CC: Nausea, Headache, Diplopia, Left eye ptosis and ophthalmoplegia since 2 months ago
(Decrease in libido since 10 years a go (
•PMH: Negative
•DH: Negative
•SH: Heavy Smoker(45 pack year)
•FH: Negative
Case 2
•ID: A 25 year old woman, Single, from Tehran
•CC: She referred to an endocrinologist because of the laboratory test abnormality
(Anti TPO Ab > 1000)
•PMH: Asthma from childhood
•DH: Respiratory sprays/PRN
•FH: History of gastric cancer in her grandmother and intestinal cancer in her grandfather
Case 3
•ID:A 55 year old woman, Married, from Tehran
•CC:Swelling in the neck
(No History of gastrointestinal disorders, kidney stones, polyuria and bone FX)
•PMH: HTN
•DH:Tab Losartan 25(1/2/BID)
•FH: DM, HTN, CVD in her herparents.
1403/04/10 Dr Hoseingholizade
Case 1
•A 76 years old man with incidental finding in thyroid (in chest CT scan) PMH : HTN , prostatectomy 10 years ago
•DH : losartan 25 mg BD
•FH : negative for any thyroid disease
Case 2
•A 31 years old woman with history of low TSH in f/u lab test 1 years ago when she had pregnant (GA:15w)
