
This case is about a 41-year-old female who presented with a solitary thyroid nodule in the right lobe. She had swelling in the front of her neck for 5 years, weight gain for 1 year, hair loss for 2 years, and palpitations for 1 year, but no other medical illnesses. Blood investigations showed haemoglobin 11.9 g/dL, red blood cells 4.65 million/cumm, hematocrit 37.5%, platelets 3.45 lakh/cumm, and white blood cells 8530/cumm with normal differential counts. Coagulation profile was normal with PT 11.8, INR 0.91, and APTT 31.7. Liver and kidney function tests were normal, with total bilirubin at 0.7 mg/dL and serum creatinine at 0.7 mg/dL. Electrolytes were also normal. HbA1c was 4.8%, showing no diabetes. Thyroid function test revealed low TSH (0.20 mIU/L), normal Free T3 (3.21 pg/mL), and slightly high Free T4 (1.80 ng/dL). Ultrasound of the thyroid showed a right lobe nodule classified as ACR TIRADS 3, mildly suspicious for malignancy, but FNAC confirmed colloid goiter, a benign condition. The patient was managed with right hemithyroidectomy under general anesthesia, which she tolerated well, and the postoperative recovery was uneventful. During treatment, she received intravenous antibiotics (Inj. Xone 1 g) for infection control, a proton pump inhibitor (Inj. Pan 40 mg) to prevent stomach acid secretion, an antiemetic (Inj. Emeset 4 mg) for nausea and vomiting, paracetamol (Inj. PCT 1 g) for fever and pain, tramadol for additional pain relief when required, vitamin supplements (Tab Limcee, Tab Cofovit) for nutritional support, and cough syrup (Syp Ascoril D 30 ml) for dry cough. She is now hemodynamically stable and has been discharged with medical advice, highlighting the importance of proper evaluation and treatment planning for solitary thyroid nodules.
Solitary thyroid nodule, Goitre, Thyroid nodules, multinodular.
Solitary thyroid nodule, Goitre, Thyroid nodules, multinodular.
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