jean robert
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A 20 y.o. woman presents to the emergency room labor. She has had no prenatal care. The patient is noted to be very restless, with fever,profuse sweating, marked tachycardia , and a marked tremor. Over the next hour, she develops delirium, nausea, vomiting and abdominal pain between contractions. This potentially fatal condition is most likely related to which of the following thyroid diseases?
a) De Quervain thyroiditis
b) Follicular carcinoma
c) Graves disease
d) Hashimoto thyroiditis
e) papillary carcinoma
Edited by jean robert on 04/19/08 - 02:58 PM
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| taipei817
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graves
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| Tiff
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C. Graves
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| drgho
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Tiff wrote:
C. Graves
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| silver
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Graves
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| 1.ammara
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C
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| jean robert
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| jean robert
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EXPLANATION
Correct Answer: C
The patient is experiencing a THYROTOXIC CRISIS, which ocuurs most commonly in patients with untreated or inadequately treated Graves disease. The onset is typically abrupt and may be precipitated by stressors that can include:
1.-Infection
2.-Trauma
3.-Radio-iodine treatment
4.-Childbirth
The condition, if unrecognized, may progress to congestive cardiac failure, pulmonary edema, and death.
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