A 34-year-old woman taking carbimazole for Graves disease presents with fever, malaise and two painful oral ulcers. She has a temperature of 38.7°C and mild cervical lymphadenopathy; the ulcers are not associated with dental caries or trauma. She has taken carbimazole for three months and has not started any other medicine. Which one of the following is the most appropriate next step?
Keep going — a set of ten like this one, one at a time.
Practise moreMore from Endocrine and Metabolic
See allA 31-year-old woman presents with six months of fatigue, nausea and 7 kg of weight loss. She has been adding extra salt to everything and craves potato chips. F…
Clinical rotations · common
A 38-year-old woman presents with three weeks of aching pain in the front of her neck that worsens when she turns her head or swallows and radiates up to both e…
Clinical rotations · middle twist
A 46-year-old woman has a body mass index of 32 kg/m² and treated hypertension. Her mother developed type 2 diabetes at 58 years of age. She has no polyuria, po…
Clinical rotations · middle twist
A 24-year-old woman with type 1 diabetes presents with abdominal pain, vomiting and deep breathing. Her blood glucose concentration is 24 mmol/L, venous pH is 7…
Clinical rotations · middle twist
A 76-year-old woman taking denosumab for osteoporosis develops pain around a mandibular molar and undergoes extraction. Twelve weeks later, a segment of hard ti…
Clinical rotations · common