Introduction Self-limiting hypothyroidism following a viral infection (URI) early on may be hyperthyroid (similar to Hashimoto's) later, symptomatology is hypothyroid (though this is not permanent) Presentation Physical exam jaw pain very tender thyroid gland post-partum lymphocytic subacute thyroiditis is painless no cervical adenopathy Evaluation Labs ↑ ESR hyperthyroid phase: high T4, high T3, low TSH euthyroid phase: normal T4, T3, TSH hypothyroid phase: normal/low T4 and T3, elevated TSH Histology granulomatous inflammation 123I uptake decreased Treatment Manage symptoms (pain) with NSAIDS and aspirin Does not require treatment Prognosis, Prevention, and Complications Rare to progress to permanent hypothyroidism
QUESTIONS 1 of 3 1 2 3 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (M1.EC.13.94) A 40-year-old female presents to your office complaining of a tender neck and general lethargy. Upon further questioning, she reports decreased appetite, fatigue, constipation, and jaw pain. Her pulse is 60 bpm and her blood pressure is 130/110 mm Hg. Biopsy of her thyroid reveals granulomatous inflammation and multinucleate giant cells surrounding fragmented colloid. Which of the following likely precipitated the patient’s condition: QID: 100395 Type & Select Correct Answer 1 Iodine deficiency 6% (2/34) 2 Goitrogens 3% (1/34) 3 Thryoglossal duct cyst 3% (1/34) 4 Infection 88% (30/34) 5 Chronic renal disease 0% (0/34) M 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK
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