are potential complications of pituitary adenomas if there is compression of the central satiety center of the hypothalamus.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 31-year-old woman comes with her husband to the emergency room complaining of palpitations for the past three weeks. They have started to increase in intensity and frequency over the past two days, and have been accompanied by periods of sweating and tremulousness. Her husband notes that she has been bumping into walls and the edges of tables more recently, and had damaged the fence lining their driveway when backing out in their car three days ago. Her temperature is 36.9°C (98.5°F), pulse is 114/min, respirations are 18/min, and blood pressure is 142/78 mm Hg. Physical examination shows a diffusely enlarged goiter, fine resting tremor in both arms and diaphoresis. An ECG is obtained and shows sinus tachycardia. Which of the following is the most likely diagnosis?