50y/F diagnosed Hypothyroidism 4 years back and was on 50mcg Thyroxine and since 2 years on 25mcg Thyroxine.
3 months back she suddenly developed anxiety, restlessness and palpitations.
TSH value reduced to 0.05. Endocrinologist diagnosed ?drug induced hyperthyroidism and now she is on beta blockers TDS but after 3 months also TSH value 0.14
Should Methimazole be introduced?
TPO - 80
Adviced CT scan of thyroid.
Ultrasound Thyroid reveals inflammatory conditions ? Grave's disease
Suspected phychiatric angke as blood pressure normal still patient complains of GHABRAHAT