Thyroid function and glomerular filtration—a potential for Grave errors

A 42-year-old female was referred for polyuria. She also had observed shortness of breath, sweating, palpitations and increased appetite that was coupled with a 3 kg weight loss from her basal weight of 65 kg. Her pulse pressure and heart rate were elevated. She had minimal exophthalmos; however, Stellwag’s and Dalrymple’s signs were present. Her thyroid gland was enlarged and smooth. A systolic murmur was audible over its surface. Her hands...