### Patient: Doctor, I have been experiencing swelling in my neck and difficulty in swallowing. I am worried it could be goiter.
### Doctor: Based on your symptoms, we need to conduct a few tests to confirm if it is goiter. We need to perform a hematology test, an ultrasound, a lipid panel, a complete physical skin exam, and a biopsy. Once we have the results of the tests, we can confirm the diagnosis. In some cases, we may also recommend an excision to remove the goiter depending on the severity of the condition. Additionally, we'll need to perform a hemoglobin A1c measurement test to ensure you don't have diabetes which can exacerbate this condition.