AKT-4501

AKT-4501

A 31-year-old woman presents to the surgery for review. She complains of feeling hungry all the time although, despite this, she has lost weight. She also complains of palpitations that have been present for the past three months.

She has a past history of anxiety and has taken a course of SSRI four years ago for two years in total.

Examination reveals a BP of 120/80 mmHg, pulse is 92 and regular. She has a fine tremor. There is a small, 1.5 cm nodule within the left lobe of the thyroid.

Investigations reveal:

Hb 125 g/L (115-160)

WCC 6.4 ×109/L (4.5-10)

PLT 281 ×109/L (150-450)

Na 137 mmol/L (135-145)

K 4.0 mmol/L (3.5-5.5)

Cr 78 µmol/L (70-110)

TSH 0.02 mU/L (0.4-4.5)

FT4 62 pmol/L (10-24)

You decide to refer this lady, but which of the following is likely to be the next step in her management without need to first consult a specialist colleague?