Progressively Enlarging Anterior Neck in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16932
SMLE Question #16932
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old primigravida at 10 weeks’ gestation presents with a progressively enlarging anterior neck swelling for 6 months. She reports fatigue, constipation, and cold intolerance. She denies palpitations and weight loss. Examination shows a diffusely enlarged, firm, non-tender thyroid with no nodules or bruit. Ultrasound confirms an intrauterine pregnancy with fetal cardiac activity. What is the most appropriate next step in management?
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