title: Index of suspicion. Case 1.
authors.affiliation: Lahey Hitchcock Clinic, Manchester, NH, USA.
authors.forename: T C
authors.initials: TC
authors.lastname: Bisett
authors.forename: S
authors.initials: S
authors.lastname: Rockenmacher
mesh_terms: D000293:Adolescent; D004314:Down Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis*; D010996:Pleural Effusion / Q000209:etiology*