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NBME 18 Answers

nbme18/Block 3/Question#31

28 yo woman, 4 days of palpitations, severe neck pain, fatigue, malaise

Subacute granulomatous thyroiditis

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Self-limited disease often following a flu-like illness (eg, viral infection). May be hyperthyroid early in course, followed by hypothyroidism (permanent in ~15% of cases). Very tender thyroid is seen.

sympathetikey  Short time course & tenderness was a tip for me. +1