The child with a neck swelling
Kayleigh is a 13-year-old girl who has recently noticed a neck swelling. Please examine her.
Look at her hands and arms.
Kayleigh has sweaty palms and a fine tremor. Her resting heart rate is slightly elevated.
Warm and sweaty palms (hyperthyroidism)
Tremor with paper on outstretched hands
Measure the resting heart rate
Elevated blood pressure with wide pulse pressure is found in hyperthyroidism
Proximal muscle weakness (hyperthyroidism)
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