Trisomy 21 for Hemithyroidectomy

You are in the Preadmission Assessment Clinic. A 40-year-old woman with trisomy 21 (Down Syndrome) presents to the clinic with her mother for assessment prior to an elective left hemithyroidectomy. Past Medical History 1. Trisomy 21 2. Left eye surgery under GA (2020) 3. Multinodular goitre 4. Hypothyroidism Medications Cholecalciferol 25mcg daily Levothyroxine 150 mcg daily Pantoprazole 40 mg daily Investigations included: TFTs ECG CXR CT neck and chest Echo Sleep studies Biochemistry