The past medical history was significant for nonocclusive
coronary artery disease, hypertension, morbid obesity, andperipheral vascular disease with claudication. His family
history included a sister with thyroid-related symptomology,
but he was not able to provide further details. The patient was
alert, in no acute distress, with a body weight of 263 pounds.
Examination of the thyroid gland did not reveal palpable
nodules on either lobe. The gland moved freely during
swallowing and was somewhat diffusely enlarged. No lymphadenopathy
or tenderness was noted on palpation. Vital
signs were normal with a blood pressure of 110/60 mm Hg.
The remainder of the examination was unremarkable
The past medical history was significant for nonocclusivecoronary artery disease, hypertension, morbid obesity, andperipheral vascular disease with claudication. His familyhistory included a sister with thyroid-related symptomology,but he was not able to provide further details. The patient wasalert, in no acute distress, with a body weight of 263 pounds.Examination of the thyroid gland did not reveal palpablenodules on either lobe. The gland moved freely duringswallowing and was somewhat diffusely enlarged. No lymphadenopathyor tenderness was noted on palpation. Vitalsigns were normal with a blood pressure of 110/60 mm Hg.The remainder of the examination was unremarkable
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