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  • Patients usually are euthyroid without the specific signs or symptoms associated with overt hyperthyroidism (although nonspecific signs or symptoms such as malaise, tachycardia, nervousness, and anxiety may be present).10???22 Atrial fibrillation may be the primary manifestation of subclinical hyperthyroidism in elderly patients.3 Physical examination will not reveal an enlarged thyroid gland in m
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