Female presents to your office complaining of mood swings difficulty concentrating, and a hand tremor that started only recently
. she also admits to having discomfort in her neck. the discomfort radiates to her ears particularly on swallowing. she ignored the neck and ear discomfort at first because she thought they might be related to flu-like symptoms that she had few weeks ago. her blood pressure is 140/80 mmhg, and heart rate is 105/mm. you proceed with a thyroid scan which shows a diffuse decrease in radioactive iodine uptake. erythrocyte sedimentation rate
