Question

A 55-year-old man presents to the emergency department with complaints of chest pain, palpitations, and dyspnea. The patient complains of being unable to breathe in deeply enough and experiencing rapid breathing at rest several times for the past few months. Upon physical examination tetany of the hands is present, along with dry mouth and excessive sweating. The ECG shows sinus tachycardia and depression of ST segment. Hormone profile of the patient is normal. What is the most likely diagnosis?

A. Acute coronary syndrome
B. Hyperventilation syndrome
C. Hyperthyroidism
D. Panic disorder
E. Generalized anxiety disorder

Answer 1

The most likely diagnosis for the patient's symptoms is Hyperthyroidism. Treatment for hyperthyroidism may include medications, radioactive iodine therapy, or surgery to remove the thyroid gland.

Step-by-step explanation:

The most likely diagnosis for the patient's symptoms is Hyperthyroidism. Hyperthyroidism is a condition in which the thyroid gland is overactive, leading to symptoms such as weight loss, profuse sweating, increased heart rate, and difficulty sleeping.

The patient's symptoms of chest pain, palpitations, and dyspnea can be attributed to the hyperactivity of the thyroid gland. Additionally, the presence of tetany of the hands, dry mouth, and excessive sweating further support the diagnosis of hyperthyroidism.

Treatment for hyperthyroidism may include medications, radioactive iodine therapy, or surgery to remove the thyroid gland.