Paeds Cases · endocrinology-diabetes-and-growth

Communicating a new Graves disease diagnosis — OSCE

OSCE communication and shared decision-making station: explaining to a thirteen-year-old girl and her mother what a new Graves disease diagnosis means, how the antibody caused the palpitations, weight loss, tremor, anxiety and eye changes, what the immediate and long-term plan is (a beta-blocker for symptoms, carbimazole first-line with the two drug dangers warned about, the two-to-three-year course and the relapse reality), what the definitive options are if the drugs do not hold, and how the school, growth and transition will be supported — while addressing fear, the burden of a years-long regimen, the cosmetic worry about the eyes, and the search for a cure.