Abstract

the creative commons attribution noncommercial License. This allows others to remix, tweak, and build upon the work non commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Abstract A 47 years old man presented to the hospital department with pain in his anterior neck region. The pain was also present when the patient swallowed food. Along with this pain, the patient also complained of suffering from low-grade fever, myalgia, and fatigue. Before coming to the hospital, the patient had taken NSAIDs for 5 days straight, but with no effect on his pain and other conditions except for temporary relief. Then 4 days back, he went to a private hospital where his lab investigations were ordered. The patient came in positive for hyperthyroidism. The medicines prescribed by that hospital setting were of no use and again, did not help in reducing his symptoms. Along with the usual lab investigations and the thyroid profile ordered for this patient, his general physical examination was performed. The patient was afebrile at the time of examination, he had no fine or shaking tremors in his hands. Yet, there was a visible diffuse swelling noticed on his neck, which was very much consistent with the findings of goitre. Apart from this, no cervical lymphadenopathy was appreciated. No other abnormality was detected in the rest of the examination. The patient's CBC report was normal as well.