CM & SURGERY
Toxic MNG (Plummer’s disease) Secondary:
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Multiple overactive nodules
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Goiter present (multiple nodules palpable)
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Secondary hyperthyroidism: This is overactivity that develops in an already hyperplastic gland. It is a disease of the middle age and occurs in patients with a preexisting euthyroid enlarged nodular gland. i.e. Long history of MNG.
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Develops from multinodular goiter. Nodules become autonomous i.e., become hyper active- independent of TSH
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Cardiac symptoms more common, eye symptoms-rare
