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Case Study 8: Subacute ThyroiditisPatient:%u2022 A 30-year-old woman presents with neck pain, fever, and fatigue. She reports having a viral upper respiratory infection two weeks ago.Physical exam:%u2022 Tender, enlarged thyroid glandLabs%u2022 Initial phase: TSH low, Free T4 high%u2022 Later phase: TSH high, Free T4 low%u2022 ESR: elevatedDiagnosis:%u2022 Subacute (De Quervain's) ThyroiditisTreatment:%u2022 NSAIDs for pain and inflammation%u2022 Beta-blockers for thyrotoxic symptoms if needed%u2022 Corticosteroids in severe cases%u2022 Thyroid function monitoring (condition often self-resolves)%u2022 Temporary levothyroxine if hypothyroid phase is prolonged or symptomatic