thyromegaly - abnormally enlarged thyroid gland; can result from underproduction or overproduction of hormone or from a deficiency of iodine in the diet
[1] Pregnancy is associated with increased urinary loss of iodine due to increased glomerular filtration rate, thus leading to iodine deficiency and maternal thyromegaly. The elevation of Human Chorionic Gonadotropin in pregnancy functions as a stimulator of TSH receptors.
Subjects with medical illnesses such as clinical or laboratory evidence of cardiac, renal, liver, or endocrine disease, severe systemic diseases, and patients with thyromegaly were excluded.
Patient with tracheal, neck and spinal abnormalities, previous tracheostomy or neck surgery, thyromegaly, soft tissue infection in the neck, severe hypoxemia, uncorrectable coagulopathy, thrombocyte count <50,000, severe hemodynamic instability or autonomic dysfunction, severe sepsis and status epilepticus were excluded.
On physical exam, the patient had bilateral erythematous conjunctiva associated with exophthalmoses without any evidence of lid lag or thyromegaly. Cardiovascular and pulmonary examinations were normal.
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