Step 2 Endo/EM
Last Modified: 2014-07-29
- Caused by viral infection
- Present 2-3 weeks after resolution.
- Tender large thyroid
- Hyperthyroid phase - elevated T3, T4, low TSH, decreased RAIU
- Hypothyroid phase - decrease T4, elevated TSH
- Thioamides contraindicated; NSAIDs, BB instead
NO pain, often follows pregnancy; autoimmune pt at higher risk
high Thyroid Hormone, LOW RAIU, Bx shows inflammation
- Photophobia, cough, coryza, conjunctivitis
- Koplik's spots on buccal mucosa
- Rash begins on face and spreads downward
No stones, wall thickening and distension
Typically secondary from acutely ill hospitalization
- FSH LH
- Growth hormone
- vagal response, ice to head, hypoglosseal suction, blow through a straw, bear down
- adenosine- 0.1 mg/kg (double first dose up to 6mg)
- Rate control
- shock .5-1 joules-for unstable SVT- synchronized cardioversion
- Gastroenteritis - Diarrhea
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