Here is the case study which is consist on a patient's clinical history, its laboratory diagnosis and his final diagnosis with some treatments.

1. CASE STUDY #1
A 43 year man suffering from high fever, neck swelling and
upgrade metabolic rate and facing difficulty in breathing and
swallowing. What will be the diagnosis?

2. CLINICAL HISTORY
 High fever
 High pulse rate
 High blood pressure
 Paleness of body color
 Smoking

3. SYMPTOMS
 Neck swelling
 Pale yellow color of body
 Yellow eyes
 Extreme fatigue
 Mild tremor in hand
 Nervousness

4. LAB STUDY
Doctors prescribed the following test:
 CBC (Complete blood count)
 LFTs (Liver function tests)
 RFTs (Renal function tests)
 TFTs (Thyroid function tests include T3, T4 and TSH)
 Serum Electrolytes (Ca,Mg,K,Na,Cl)
 Serum Albumin
 PTH (Parathormone)

5. LAB INVESTIGATION:
CBC ( all parameter are low )
Sodium 135mmol/L Calcium 1.25mmol/L
Potassium 5.6mmol/L Chloride 105mmol/L
TSH .0002 uIU/ml
T3 30pg/mL
T4 4.26ng/dL
LFTs ( Values of SGPT,SGOT and Total bilirubin showing elevation)
RFTs ( all parameters are normal )
Serum albumin 3.83 G/dL

6. RADIOLOGICAL STUDY:
Dr. prescribed patient as;
Thyroid Ultrasound and
Ultrasound-Guided thyroid scan for more precise investigation.

7. DIAGNOSIS;
 Thyroid Tumor
( as per lab and radiological investigation co-relate with patients
clinical conditions it is finally diagnosis that patient suffering
from thyroid tumor)

8. TREATMENT-
 After lab tests, thyroid tumor of patient removed throughout surgery as
Thyroidectomy.

9. EXAMINATION OF BIOPSY (GLAND) IN
HISTOPATHOLOGY LAB
 The lobes of thyroid gland shows diffuse enlargement
 Small nodule in right lobe measuring 5.0mm
 Another nodule in left lobe measuring 15mm
 Nodule presenting some follicular thyroid benign
and no sign of malignancy seen in specimen.

10. AFTER SURGERY
After surgery, patient suffered from another problem due to low level of
calcium and that was the extreme Fatigue and cramp.

11. MEDICATION
 After surgery:
Nise, qaloom
Folic acid, Inderal, neurobian