In this MRCS Part B scenario are the SHO in ENT clinic. Your next patient is Mrs Johnston who has noticed a lump in her neck.
Please take a history.
History of presenting complaint
I first noticed the lump 2 months ago.
It is in the centre of my neck, and seems to have grown since.
I have not noticed any changes in my voice, difficulty swallowing or any pain.
I have lost weight in the past two months, which is great, but have also been more anxious than normal and have had spells I can only describe as hot flushes where I sweat a lot.
I have not noticed any change in vision, or any differences in my eyes.
I do not have diarrhoea, and I am menstruating normally.
I have never had anything like this before.