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First Aid
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First Aid for the USMLE Step 1 (2024)
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First Aid for the USMLE Step 1 (2024) | Medicine (MD/DO) School Study Aid

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7 Picmonics to Learn | 16 mins
Hashimoto's Thyroiditis
Symptoms
Hypothyroidism with Bouts of Hyperthyroidism
Enlarged, Nontender Thyroid
Mechanism
Autoimmune
Anti-Thyroid Peroxidase (TPO)
Anti-Thyroglobulin
Lab Findings
Hurthle Cells
Lymphoid Follicles
Associations
HLA-DR5 and HLA-DR3
Increased Risk Of Non-Hodgkin Lymphoma
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2 mins
Subacute Thyroiditis Pathophysiology
Characteristics
Self-Limiting
Triphasic Response
Thyrotoxic Phase
Thyrotoxic Phase
Damaged Follicular Cells Release Pre-formed Colloid
2-8 Weeks
Hypothyroid Phase
Hypothyroid Phase
Decreased Thyroid Hormone Synthesis
2-8 Weeks
Euthyroid Phase
Euthyroid Phase
Thyroid Gland Recovery
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2 mins
Subacute Granulomatous Thyroiditis (de Quervain)
Etiology
Viral Upper Respiratory Infection
Presentation
Tender Thyroid
Hyperthyroidism and Hypothyroidism
Diagnosis
Thyroid Function Tests
Elevated ESR
Decreased Radioactive Iodine Uptake (RAIU)
Multinucleated Giant Cells
Management
Beta Blockers
NSAIDs
Avoid Antithyroid Drugs
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2 mins
Subacute Lymphocytic Thyroiditis
Etiology
Drugs
Autoimmune Disorders
Postpartum Thyroiditis
Clinical Features
Hyperthyroidism and Hypothyroidism
Painless Thyroid
Diagnosis
Thyroid Function Tests
Elevated ESR
Decreased Radioactive Iodine Uptake (RAIU)
Lymphocytic Infiltrate
Treatment
Beta Blockers
Levothyroxine
Avoid Antithyroid Drugs
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3 mins
Hypothyroidism Assessment
Assessment
Weight Gain - Edema
Lethargy
Cold Intolerance
Bradycardia
Hypertension
Brittle Nails and Dry Skin
Constipation
Goiter
Prolonged Menses
Slowed Thinking
Diagnostic Tests
Decreased Free T4
Increased TSH
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2 mins
Amiodarone
Mechanisms
Class III Antiarrhythmic (K+ Channel Blocker)
Decreases SA and AV Node Conduction
Inhibits Cytochrome P450
Indications
Supraventricular Tachycardia with Heart Failure
Ventricular Tachycardia
Side Effects
Hepatotoxicity
Pulmonary Fibrosis
Bradycardia
Heart Block
Thyroid Disorders
Blue/Gray Skin Deposits
Corneal Deposits
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3 mins
Lithium
Indications
Bipolar Disorder
Mechanism of Action
Mood Stabilizer
Unknown Mechanism
Side Effects
Nephrogenic Diabetes Insipidus
Hypothyroidism
Movement (Tremor)
Heart Block
Contraindication
Pregnancy (Ebstein's Anomaly)
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1 min

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