7. Thyroiditis and Its Types | USMLE Step 2 CK | High-Yield Endocrinology Clinical Review скачать в хорошем качестве

7. Thyroiditis and Its Types | USMLE Step 2 CK | High-Yield Endocrinology Clinical Review

📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- https://t.me/conceptualmedicine 📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- https://www.instagram.com/conceptual_... 🦋 Thyroiditis and Its Types | USMLE Step 2 CK | High-Yield Endocrinology Clinical Review This high-yield lecture on Thyroiditis and its Types is crafted specifically for USMLE Step 2 CK students who need to master the diverse presentations, causes, and management strategies for inflammatory thyroid disorders. Thyroiditis refers to a group of conditions characterized by inflammation of the thyroid gland, which can lead to transient hyperthyroidism, hypothyroidism, or a biphasic course depending on the etiology. Understanding the clinical patterns, laboratory findings, and timeline of hormone fluctuations is key to accurately diagnosing these conditions in both outpatient and inpatient Step 2 CK settings. 🧠🩺 We begin with the most common form, Hashimoto thyroiditis — a chronic autoimmune disease and the leading cause of hypothyroidism in iodine-sufficient areas. It presents insidiously with fatigue, weight gain, cold intolerance, and features of goiter. Patients have high titers of anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin antibodies, and early on, they may experience a transient thyrotoxic phase before progressing to permanent hypothyroidism. Histologically, Hashimoto’s shows lymphocytic infiltration with germinal centers and Hurthle cells. 🧪🧬 Next is Subacute Granulomatous Thyroiditis (de Quervain thyroiditis), a painful, often post-viral condition. Patients present with fever, a tender enlarged thyroid, and neck pain radiating to the jaw or ear. Early labs show suppressed TSH and elevated T4, followed by a hypothyroid phase, then recovery. ESR is markedly elevated, and radioactive iodine uptake (RAIU) is low. Management includes NSAIDs or glucocorticoids for pain and inflammation. 🎯🔥 Painless (Silent) Thyroiditis is another important type, especially seen in postpartum women, where it is called Postpartum Thyroiditis. It presents with mild, transient hyperthyroidism, followed by hypothyroidism, and eventual resolution. It is also autoimmune in origin, but lacks tenderness and systemic signs. Anti-TPO antibodies may be positive. This type is often self-limited and may not require treatment unless symptomatic. 🤱📉 Infectious (Suppurative) Thyroiditis is rare and caused by bacterial infection of the thyroid. Patients appear toxic and febrile, with a red, tender, fluctuant thyroid mass. Lab findings include elevated WBC count, and diagnosis is confirmed via aspiration and culture. Management involves IV antibiotics and possible surgical drainage. 🦠💉 Riedel Thyroiditis is a very rare, chronic fibrosing condition where dense fibrosis replaces normal thyroid tissue and may extend into surrounding structures, causing compression symptoms like dysphagia, hoarseness, and a "woody" hard goiter. It may be associated with IgG4-related disease. Treatment includes glucocorticoids, tamoxifen, or surgery in cases of obstruction. 🪵🗣️ On USMLE Step 2 CK, thyroiditis often appears in questions involving fluctuating thyroid hormone levels, postpartum patients, painful vs painless goiters, and interpretation of radioactive iodine uptake scans. Knowing how to differentiate between these types clinically and with labs is critical to choosing the correct diagnosis and treatment path. #Thyroiditis #HashimotoThyroiditis #SubacuteThyroiditis #SilentThyroiditis #PostpartumThyroiditis #RiedelThyroiditis #InfectiousThyroiditis #ThyroidPain #AntiTPO #RAIU #TSH #USMLEStep2CK #EndocrinologyReview #MedicalEducationUSA #WhiteboardMedicine #DrGBhanuPrakash #Step2CKPrep #ThyroidDisorders #HighYieldEndocrinology #ThyroidFunctionTests #ThyroidAutoimmunity #USMLE2025 #ConceptualMedicine #MedicalConcepts #NEETPGPrep #FMGE2025 #USMLE2025 #ClinicalMedicine #MBBSConcepts #NextExamPrep #MedSchoolMadeEasy #MedStudentLife #HighYieldMedicine #PathophysiologySimplified #LearnMedicineFast #VisualMedicine #MedicalMnemonics #CrackNEETPG #USMLEStep1Prep #MedEducationRevolution #MBBSShorts #DoctorInTheMaking