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 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: Tested Concept QID: 100395 Type & Select Correct Answer 1 Iodine deficiency 6% (1/17) 2 Goitrogens 0% (0/17) 3 Thryoglossal duct cyst 0% (0/17) 4 Infection 94% (16/17) 5 Chronic renal disease 0% (0/17) M 2 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review tested concept Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK