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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
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Related Experiment Video

Updated: Sep 1, 2025

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Subacute Thyroiditis-Still a Diagnostic Challenge: Data from an Observational Study.

Taiba Zornitzki1, Sorcha Mildiner2, Tal Schiller1

  • 1Diabetes, Endocrinology and Metabolic Disease Institute, Kaplan Medical Center, The Faculty of Medicine, Hebrew University of Jerusalem, Rehovot 9190401, Israel.

International Journal of Environmental Research and Public Health
|August 12, 2022
PubMed
Summary
This summary is machine-generated.

Subacute thyroiditis (SAT) diagnosis is often delayed, with many patients initially misdiagnosed. A significant portion of individuals with SAT develop long-term hypothyroidism.

Keywords:
quality of caresubacutethyroid scanthyroiditis

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Area of Science:

  • Endocrinology
  • Nuclear Medicine

Background:

  • Subacute thyroiditis (SAT) is a common thyroid condition with limited recent research and variable diagnostic criteria.
  • Understanding SAT's clinical course and long-term outcomes is crucial for improving patient care.

Purpose of the Study:

  • To evaluate the clinical presentation and long-term outcomes of patients with isotope scan-confirmed subacute thyroiditis.
  • To identify diagnostic delays and the incidence of hypothyroidism following SAT.

Main Methods:

  • Retrospective study of 38 patients with isotope scan-confirmed SAT.
  • Long-term follow-up data collected for all participants.

Main Results:

  • The study included a female predominance (1.4:1 ratio) and a mean age of 47 years (women) and 62 years (men).
  • Common symptoms included neck pain (74%) and weakness (61%), with nearly half of cases occurring in summer.
  • Thyroid function tests showed low TSH and elevated FT4/FT3; 33% were initially misdiagnosed with upper respiratory tract infection (URI), and 25% developed hypothyroidism post-diagnosis.

Conclusions:

  • Subacute thyroiditis diagnosis is frequently delayed, with a significant percentage of patients initially misdiagnosed as URI.
  • A substantial proportion of patients (25%) with SAT develop persistent subclinical or overt hypothyroidism, necessitating long-term monitoring.