PAMJ - Images Quiz
 Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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A 29-year-old man presented with a 4-month history of a mass in the left lateral region of the neck that was painful to palpation. Growth of this mass caused a change in his tone of voice, dysphagia to solids that progressed to liquids, and dyspnea. He also referred a weight loss of 3 kg. He had no previous medical history. Physical examination of the neck showed a left ganglionar conglomerate, which covered all areas of the neck and the supraclavicular hollow and that extended to the opposite side with limitation of cervical movement. aboratory tests revealed a TSH serum level of 5.19 uU/ml (0.27-4.2 uU/mL), a free T4 level of 0.80 ng% (0.93-1.7 ng%), and a thyroglobulin of 12.2 ng/ml (1.40-78.0 ng/ml). What is your diagnosis?
Sub-acute thyroiditis
Hashimoto´s Thyroiditis
Grave´s disease
Anaplastic thyroid cancer

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The PAMJ Clinical Quiz was comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professional, clinicians, medical students to test their clinical skills. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0). If you use or ever used the PAMJ for training purposes, we will be happy to hear from you at editor@panafrican-med-journal.com.

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Articles published in PAMJ are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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