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PERSONAL SOCIAL ENVIRONMENTAL HISTORY:

The patient is an elementary gradate and is a h!se"i#e$ She d!es

n!t sm!%e n!r drin% al&!h!li& 'e(erages$

PHYSICAL E)AMINATION:

*P: ++,-., CR:/0RR:1,Temp$:23$4

S5IN: n! pall!r6 n! 7andi&e

HEENT: ani&teri& s&lera6 pin% palpe'ral &!n7n&ti(a$ 89le#t anteri!r ne&%

mass 2;2&ms

CHEST < L=I>S: symmetri&al &hest e;pansi!n6 &lear 'reath s!nds6 n!

retra&ti!ns n!ted

CAR?IOVASC=LAR: adynami& pre&!rdim6 n!rmal rate reglar rhythm n!

mrmrs$A*?OMEN: @a''y6 n!rm!a&ti(e '!"el s!nds6 s!#t6 n!ntender

E)TREMITIES: n! gr!ss de#!rmities

NE=ROLO>IC: >CS+4

CO=RSE IN THE AR?:

+sth!spital day: the patient "as pla&ed nder NPO6 IVB:?4LRS$ The #!ll!"ing

medi&ati!ns "ere pres&ri'ed: Ce#tria;!ne +g-IV +1 start + hr pri!r t! OR$

1

nd

h!spital day: the patient "as s&hedled #!r ele&ti(e t!tal thyr!ide&t!my$2rdh!spital day: +stp!st !p day: the patient "as a#e'rile6 89dysphagia$ The

patient "as pla&ed !n ?AT "ith SAP diet$ N! IVB$ Ce#ale;in 4,,mg-&ap "as

started as "ell as Me#enami& A&id 4,,mg-ta' TI?$

Dthh!spital day: 1ndp!st !p day: the patient had n! !ther s'7e&ti(e

sympt!ms e;&ept #!r 89 slight dysphagia and "as dis&harged$ OP? #!ll!"

p "as s&hedled !n Agst 1,6 1,+4$ H!me meds: Cal&im ta' O?6

Ce#r!;ime 4,,mg *I? #!r . days6 Cele&!;i' 1,,mg *I? #!r pain$

http:--"""$s&ien&edire&t$&!m-s&ien&e-arti&le-pii-S,2,+4310+4,,23.+http:--"""$a7nr$!rg-&!ntent-early-1,+4-,2-13-a7nr$AD1.3$a'stra&thttp:--m$e7e!nline$!rg-&!ntent-+.1-1-RD.$sh!rt

?ISC=SSION:

Thyr!id Anat!my

http://www.sciencedirect.com/science/article/pii/S0301562915003671http://www.ajnr.org/content/early/2015/03/26/ajnr.A4276.abstracthttp://m.eje-online.org/content/172/2/R47.shorthttp://www.ajnr.org/content/early/2015/03/26/ajnr.A4276.abstracthttp://m.eje-online.org/content/172/2/R47.shorthttp://www.sciencedirect.com/science/article/pii/S0301562915003671

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The adlt thyr!id gland is 'r!"n in &!l!r6 Frm in &!nsisten&y and is l!&ated

p!steri!rly t! the strap ms&les8stern!hy!id6 stern!thyr!id6 speri!r 'elly !#

the !m!hy!id$ It n!rmally "eighs appr!;imately 1,g$ the thyr!id l!'es are

&!nne&ted (ia the Isthms "hi&h is l!&ated in#eri!r t! the &ri&!id &artilage$

The thyr!id is spplied 'y the Speri!r thyr!id arteries6 in#eri!r thyr!id

arteries and thyr!idea ima artery$ Ven!s drainage are (ia the speri!r6middle6 in#eri!r thyr!id (eins$ Ner(e inner(ati!n is thr!gh the le#t and right

re&rrent laryngeal ner(e6 speri!r