try this, i like concepts - mdsurgeon - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: try this, i like concepts - mdsurgeon (/showthread.php?tid=304229) |
try this, i like concepts - mdsurgeon - ArchivalUser - 05-22-2008 Q1. pts have progressive destruction of thyroid cells. Q2 autoantibody to TSH. Q3hyperthyroididm followed by hypothyroidism then euthyroid. - name the disease for every q? - lab result for every q 0 - ArchivalUser - 05-22-2008 q2---graves dz..incresed t3 incresed t4..decresed tsh...increased radioactive iodine uptke q3--subacute/de quaerains-->the lab depends on stage in hyperthroid state --increased t3 t4 n decreased tsh in hypo-->decreased t3 t4 n increased tsh.. n most imp--elevated esr q1-->progressive destructioni guess hashimotos---decreased t3,t4...increased tsh..decreased radioactive idoine uptake 0 - ArchivalUser - 05-22-2008 1___ 2.Graves disease .lab-increase serum T4,inc.131 iodine uptake,dec.TSH 3.hashimotos thyroiditis.lab-animicrosomal antibodies 0 - ArchivalUser - 05-22-2008 1) hashimotos thryoiditis - raised TSH, normal free T4(if still subclinical hypothryoidism) or raised T4 2)graves disease - low TSH, raised T4 and T3, TSI positive 3) also hashimotos????? 0 - ArchivalUser - 05-22-2008 PROGRESSIVE DESTRUCTION OF THYROID CELLS 1) hashimoto thyroiditis: low t4 t3 and high TSH 2)riedels thyroiditis:-low t4 t3 and high TSH AUTOANTIBODIES TO TSH graves disease:-increased t4 t3 TSH SUBACUTE THYROIDITIS hyper--hypo--eu ALSO REMEMBER:-----IN HASHIMOTOTHYROIDITIS....ITS FIRST HYPER THEN TO HYPOOOOOOOOOOO 0 - ArchivalUser - 05-22-2008 nopes would like to correct my ans. q3) subacute thyroiditis - lab values depend on stage of dz ( stage 1- hyperthyroid, stage 2 - euthyroid, stage 3- hypothyroid, stage 4 - euthyroid) |