Diagnosis: A 75-year-old woman complains of lethargy ...

Diagnosis

A 75-year-old woman is seen in her physician's office with a chief complaint of a two-month history of lethargy, swelling in lower portion of her neck (goiter) and coarse skin.
Ultrasensitive TSH markedly increased. Decreased free T4. High cholesterol.


What is your diagnosis?






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