Avoiding Grave Cardiac Outcomes in an Athlete with Grave’s Disease

source: American College of Sports Medicine

year: 2018

authors: Rubin, Sander; Kiningham, Robert

History:
A 20-yr male college football player presented to the athletic training room with 15 pounds of unexplained weight loss over a two-week period. He reported decreased appetite, increased general fatigue and muscle fatigue over the past two weeks. His review of systems was otherwise negative. He had no chronic medical problems or current medications. His family history was significant for asthma, hypertension, and diabetes mellitus type 2.

Physical Examination:

• General – No acute distress, well-appearing
• HEENT – Sclera anicteric, tympanic membranes normal Neck – Supple. Thyroid palpable, no enlargement or nodules
• Lymph nodes – No axillary, cervical, or supraclavicular lymphadenopathy Respiratory – Clear to auscultation bilaterally, no dyspnea
• Cardiovascular – Regular rate and rhythm, no murmur
• Abdomen – Soft, non-tender, non-distended, no mass, bowel sounds present GU – No testicular mass.