Approach to hyperthyroidism and thyrotoxicosis Quiz: Ace Your Exams
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A 64-year-old woman presents for follow-up. She was initially seen two weeks prior for neck pain radiating to the jaw and heat intolerance which began after a viral illness. She was treated for pain with NSAIDS. Her symptoms have not changed. Temperature is 37.0°C (98.6°F), pulse is 78/min, respiratory rate is 18/min, and blood pressure is 142/82 mmHg. A tender goiter is palpated at the anterior neck. Abdominal exam reveals no masses. Initial labs demonstrated a TSH of 0.31 mIU/L and free T4 of 8.3 ng/dL. Additionally, laboratory studies show undetectable antithyroid peroxidase and antithyroglobulin antibodies. Radioactive iodine uptake scan shows low uptake. Which of the following tests should be ordered next to help make the diagnosis?
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