New real and authentic clinical case
New-onset hypertension, palpitations, goitre: can ultrasound explain the clinical picture?
Each month, I share a clinical case taken directly from my general practice consultations to help you sharpen your diagnostic reasoning using real images, a credible clinical context, and an analysis you can apply immediately in your daily practice.
A highly suspicious thyroid
A 41-year-old woman presents with profound exhaustion.
For several months, everything seems to have gradually fallen out of balance: very restless sleep, near-insomnia, overwhelming anxiety, palpitations, chest pain, followed by the onset of new hypertension.
The course is fluctuating and puzzling: alternating episodes of intense anxious agitation and more depressive phases, with the patient describing herself as literally “at the end of her rope.” Symptomatic treatment with propranolol and hydroxyzine has been introduced, but the overall clinical picture remains only partially explained.
During the initial clinical examination, your colleague notes one finding that changes the interpretation of the case: a palpable goitre.
Between two consultations, she therefore asks you for a rapid thyroid ultrasound assessment.
A simple goitre discovered in the context of severe anxiety? An overlooked hyperthyroidism? Thyroiditis? Something else?
Here are the ultrasound images. What do you think?
Train your eye and your clinical reasoning before seeing the answer.
What is your diagnosis?
Analyze the images, identify the distinguishing features, then compare your hypothesis with the detailed reasoning below.
Full analysis
Case study video
Why join Echomap?
Don’t just look at images. Learn to make decisions with them.
The clinical case of the month is just a starting point. The Echomap platform was designed to help general practitioners gain diagnostic certainty, build confidence with patients, and achieve real efficiency in everyday practice.
A practical, field-oriented teaching approach
Clear explanations, practical anatomical landmarks, and demonstrations you can truly apply in your practice.
Real cases to accelerate your progress
You do not just memorize images. You learn how to reason, compare, and decide.
Training designed specifically for general practice
Targeted content, optimized time, and tangible benefits for your daily practice.
Move from isolated cases to structured progress
Access to all modules, new clinical cases every month, practical demonstrations, report templates, bonuses, and regular updates.
A clinical case can spark your curiosity.
A structured method can transform your practice.
Join a training program designed by a general practitioner for demanding clinicians, with directly useful content, real cases, and a reproducible teaching approach.