25th August 2020

A 31-year-old lady came into the GP practice complaining of persistent irregular menstrual bleeding

A 31-year-old lady came into the GP practice complaining of persistent irregular menstrual bleeding, dysphagia, palpitations, heat intolerance and restlessness. She has a past medical history of asthma, for which she takes a salbutamol inhaler and beclomethasone inhaler. Her mother has a history of type 1 diabetes whilst her brother developed alopecia at a young age. She denied smoking and binge drinking. On examination, the GP notices slight exophthalmos, tachycardia, acropachy, painless diffuse goitre and hyperreflexia. 

Based on the clinical context above, what is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below.