A 35 year old female develops a swollen, very painful neck


Question Number 0836
Question:
A 35 year old female develops a swollen, very painful neck. She has a fever, chills and generally feels ill. She is initially evaluated by a physician assistant for pharyngitis. Her group A, beta hemolytic strep test is negative. She returns to see her doctor the next day On physical examination her heart rate is 95 and her blood pressure is 120/80. She has a temperature of 100F and a mildly enlarged thyroid gland. When her doctor goes to examine her thyroid, she objects, as this area is very sensitive, actually painful. She then lets him palpate her neck, and the physician is able to detect a mildly enlarged thyroid gland. Thyroid tests are done, but the results are pending. What is the most likely diagnosis?
a) myxedema
b) cretinism
c) Graves disease
d) Jod-Basedow phenomenon
e) De Quervain's thyroiditis


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