This is definitely not Reidel's thyroiditis. I remember getting a question wrong on UW, in regard to subacute granulomatous de quervain's thyroiditis. The pathogenesis is granulomatous inflammation destroying the thyroid follicles and releasing stored T4/T3, with a LOW radioiodine uptake. I think this line is super important to get the diagnosis right. Like liverdietrying mentioned, you need to understand that in thyroiditis of basically any cause (postpartum, hashimotos, subacute), there is a release of thyroid hormones leading to a transient hyperthyroid state which then BECOMES hypothyroid later after a brief euthyroid phase. Hence the term thyroiditis, inflammation of the thyroid gland, with release of it's contents.
shiT is a tpntaie ceas of rmsptputao rhtiiy.idsot Cna erasi up to a raey atref ldyreiev adn has litccoymhyp nealtf.itir
Teh paltoienxna yb riylniteregidv puls het atipleoanxn ni het iaectlr pstode wobel (4nmC//lsP//.9cwhitnMiw/o4wmlp.t.vtsnca/8:gpibc9e.9rh6) ear eht eb,st tjsu need ot be dcbinemo :.) hTe anlfeeidftir dgnoisais atleb 1 (yr6.j4lv1nPw=wo-S-i/c?/ng..tetoBplCnbtsc-9b4OhT8t/04bnioe9.1/aM/ris1tt/e0/coM:ew/9pacmp0rhlLlm) ielcsfyalipc tensieidif the dotiicnon ni hist euointqs as pursmatotp ht.istidyiro
t,ltamyielU fi you nokw atth mdiyipohhsrtoy has a ierttnans ympyhohertirdsi pshea (due to meiuomutna ndteituorsc fo teh sclle hiwch erdlaay dha ermderopf HT dan so it was sdereael ounp cdr)ntusoeti feerob pithryshmoodyi itcg(ufoionnnnn slcel os antc' akte up o)iedni adn ttah msyrphhyoditio is a cmioypychtl frtinitlniag otdiysitr,hi yuo will wnko hte e.awrsn I dah a drha meti iantnungddres stih ta ifrst sucebae ew uasnvot/iaedglaee ebdsa no teh esecenrp fo niPOaT-t Ab, utb eht ndunyrelgi staoieghenps of eth orythdi uecrttnoids si damce-lelitde tp(ye IV es)yephrnyittiivs nto bA etmddaie tepy( II yei)pseiyisrtnthv leik .vrgeas Hosis'mtaoh = mtyocihplcy noiirntlifta hitw remanigl eectsnr cw(hih acn moartrnfs to B ellc m)phmoaly ihtw uthlehr slecl nekrpi( oylpamsct .cells)
Can nseeomo lepnaxi het cdnrefifee wnetebe C. lae(erse of rdotes oiydthr nmerooh ofrm a irtyhod gdanl ielnifadttr yb mts)plyycoeh dna D. Reasele( of yhtiodr noohrme omrf a utsaylhmpomo toidhyr ga.lnd
whnnweg:mtlsnMch/o4t.si.Pb9la.ct/.9r8p4p/cw/6/iC9im/v
dcnAgicor ot sith pper,a mtuPaorpst iioridyshtT eenrspst ihtw i-TPtanO onaideis.bt heT srwena ciheoc esus t.msyhycelpo So htis si a nitrtasne aHhssiotom sHyoiyerdhimp.rt odoG uLck with htat en!o
I hnikt that ecsni ey'reth igansk for an nnitaoeaplx fo teh tiatepsn' neutrcr SxS cihwh hwsso ttha essh' in hte etast fo tairTnesn re:piitHmrdoyyhs hiwch is deu ot :C sRlaeee fo edtros dthioyr eohornm romf a dhtoryi glnad eaitfidnlrt yb losyepcymth
bcStaeuu ytpmhccolyi ea tiuiSdurcsiohybtt pchmolctyyi rsyohtiitid si aairtzrecchde by dmaaeg to oflcrilula lecsl hwit iypytccmlho lfiitoriantn eerbsgimln shsHoiaomt' triosihdyit eatndis fo argulamon afritom.on r:suDg oe-rirnfα,etn mui,ihlt ,irenodaoam kt-iur2e,nilne snytrioe ieaksn moiu sinbmuehirAinott deaseis rttpa msPuo iohyi:trtdsi csffeat 5% of weonm nirdgu eht pmtsarupto opirde dan is 3 tesmi omer mmcoon nagmo mnoew twih peyt 1 tebdasie stleilum.
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$279$49 65% OFFThis eon wsa a litlte trciky. roF shit eno the eky is the owl idioanoerdi .tukpae sThi atetpni has ghhi T4 and low HTS cwhhi sekam eenss ni a dehrrhyyopit piaen,tt parpehs uory iftsr outhtgh is thta ihst tepntia ash seaGv’r edesi.as or,wHeve ni ea’rsvG uroy trdiohy si ingbe aimldtseut ot kmae oemr irhydot oreonmh ormf hcrctas adn sa cshu dowlu ahev an asiednrec niddaoerioi kaeptu euaesbc het tyhdrio si gnirngbi in het qieuerdr on(w dboe)arledial .edioni ishT is hwy it si ton avGesr sr“eae(le fo dohrtyi nrohome ormf a dtoiyhr tiltadsuem yb eboi”i.n)dtsa
oS if its not rGsve’a tahw uodlc ti eb? For htis ’ouyd heva ot wkno that hooiaH’msts hytTiiridso als(o knnwo as nrchCio ymLtiphcocy hiisToyridt nad is nefto rrefedre ot as cuhs on drabo xesam to rtowh oyu )fof ahs hetre haspes - itsfr htye rae e,ptyhrorhdiy ethn ,rdethyiou tneh the asiclsc hopydyhtori ttah ouy ouwdl pexect ihtw wlo 4T nda hihg TSH. Tish saw het key ot shti qsteni.uo ehT aornse rfo hsit si hatt dntyothiira eorxpedsia idseobtnai in oh’oaHstism eascu the hoytidr ot ealerse lal of tsi tsoder hirtoyd oeonmrh nigkam the teianpt troyyphrihde fro a rohst iepodr fo e.mti fretA isht sevimas lerseae of hrdoity ,nrmoheo the asonedbtii make tehm nuebal ot ekma ewn TH nda rrhefetoe ehyt mocbee iohdeuyrt rof a rtsho pioder nad hetn ooyhphdtiry whihc ouy uolwd ex!epct Senci tyhe tcna’ amke new ,HT het drithoy will nto keat pu teh niedooairdi nad eeortrfhe ehter ilwl be owl eaoidinirdo ukept.a ,Hcene eae“srle fo tdsore rhtyodi noorehm fomr a hidtryo ldang liitrtnefad yb oy.slc”hmypet kaa hop“tiLccmyy so(atoh)msih tiiyd.hsrot”i
I hkitn eeel“sar fo tryhoid roeomnh rmfo a mutoployamsh ohirdyt d”glan si rrirgfene to esmo ndki fo doyrthi cercna in hchwi ecas uyo lwdou pexetc hmte ot be igbceidsnr a ouneld no riideidoaon tu.eapk
rmumySa ioevd ereh dan asol a getar eist in nr:eelga ciitu.ee/ehrsnayptnc//iml/eopdoqrgoon/ri:/dheraeddnst
$279$49 65% OFF