Endocrine & metabolic · UKMLA & AKT

Graves disease (including thyroid eye disease)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise graves disease (including thyroid eye disease) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Hyperthyroidism features: weight loss, heat intolerance, sweating, palpitations/tachycardia, anxiety, tremor, diarrhoea, proximal myopathy
  • Diffuse smooth goitre - may have audible bruit
  • Extrathyroidal features unique to Graves (not other causes of hyperthyroidism):
  • Exophthalmos/proptosis - most specific distinguishing feature from other causes
  • Pretibial myxoedema - non-pitting indurated plaques over shins
  • Thyroid acropachy - rare but pathognomonic

Exophthalmos is the single feature most strongly distinguishing Graves from all other causes of hyperthyroidism. Goitre and anti-TPO antibodies are non-specific (both occur in Hashimoto's).

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