Check out this Emergency Department Minute Quiz from Brady Pregerson, MD. Can you determine the correct diagnosis?
A 52-year-old female presents to the emergency department for dyspnea and a feeling that she is being choked, especially when she bends her neck forward. She denies fever, sore throat, chest pain, voice change or other complaints.
Vital Signs & Physical Exam:
Vital signs are normal except for pulse of 52. Physical exam is otherwise normal except for that her thyroid gland feels a bit enlarged.
Initial Diagnostic Testing:
Labs: Normal except sodium 131
Imaging: CT of the neck was ordered.
What is the most likely diagnosis?