Shared care was planned with the patient’s GP, for them to repeat prescriptions of carbimazole, 5 mg once daily. A further outpatient appointment was offered for 2 weeks’ time with repeat thyroid function test. Parental understanding needed to be ensured, so a referral was made to the nurse-led thyroid clinic for further education and support.
No treatment was needed for the cough, which self-resolved.
This case shows that thyroid symptoms can be subtle and easily missed. It underlines the importance of detailed history-taking and clinical examination, and shows that sometimes the presenting complaint can be misleading.