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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fatigue, Muscle Pain, Ear Pain, Salivary Gland Swelling. Benign Nodule Or Thyroid Problem?

Just benign nodule/Hashi or possible parathyroid issue? Female/53 4/13/12 - Ultrasound Large nodule seen centrally within the left thyroid 1.9 x 1.2 x 1.5 4/13/12 - Labs TSH 3rd Gen - 2.900 T4 Free - 1.0 T3 Total - 1.03 Calcium - 9.8 mg/dl Creatine - 0.60 mg/dl HCT - 35.0% MCH - 31.4 pg RDW 15.5% Mono 11.5% Alt - 58 IU/L AST - 80 IU/L all other labs were normal range 10/24/12 - FNA Benign follicular cells, macrophanges, blood & colloid favor goitrous nodule 10/30/12 - Labs TSH - 3.54 uIU/mL T3 Circulating - 1.2 ng/ML T4 Free - 0.59 ng/dL Calcium - 10.7 ng/dL Osmo Calc - 271 mOsm/L Creatine - 0.5 mg/dL HCT - 39.5% MCH - 32.7 pg RDW -13.9% Mono Abs - 866 /uL RBC - 4.12 x10^3/uL Alt - 34 U/L AST - 34 U/L Symptoms - fatigue, muscle/ bone pain , ear/jaw pain, salivary gland swelling, poor focus, weight loss, irritable/depression, high blood pressure, gerd. Not sure where to go from here & would appreciate any & all help!! Have a fantastic Friday!
Wed, 2 Apr 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
helo thanks for consulting at hcm..it might be sjogren syndrome since u have fatigue, salivary gland swelling,,, weight loss, depression, plz consult a general physician for checkup...hope it helps..tc..
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Fatigue, Muscle Pain, Ear Pain, Salivary Gland Swelling. Benign Nodule Or Thyroid Problem?

helo thanks for consulting at hcm..it might be sjogren syndrome since u have fatigue, salivary gland swelling,,, weight loss, depression, plz consult a general physician for checkup...hope it helps..tc..