At her initial evaluation, Ms. Jones reports that she has lost 25 pounds over the past eight months despite an increase in her appetite. She complains of extreme fatigue, heart palpitations and irritability. Clinical observations reveal a protrusion of the eyeballs and hand tremors. You suspect that she might have:

a. hypothyroidism
b. diabetes mellitus
c. hypopituitarism
d. hyperthyroidism

Hyperthyroidism is a condition that occurs when the thyroid gland in our body secretes too much of the thyroxin hormone. Thyroid gland is a butterfly shaped gland that is located in our neck and it produces the hormone called thyroxin. Excess production of thyroxin leads to a condition named hyperthyroidism.

A person's metabolism increases when he or she is suffering from hyperthyroidism. One's weight is lost but the appetite increases. Other symptoms are extreme fatigue, irritability, heart palpitations, sweating and puffy eyes.

Thus in the context, Ms. Jones is suspect to have hyperthyroidism as she she is showing all the above symptoms.