This case demonstrates how EUS can be used as a rapid and helpful tool in the diagnosis of thyrotoxicosis. An enlarged thyroid gland with hypervascular flow on Doppler ultrasound can corroborate clinical data and lead to the correct diagnosis in a timelier manner.
Thyrotoxic periodic paralysis (TPP) attacks are characterized as recurrent, transient episodes of muscle weakness that range from mild weakness to complete flaccid paralysis. In this case study, we followed a patient’s potassium levels analyzing how they correlate with electrocardiogram changes seen while treating his hypokalemia and ultimately his paralysis.