A 26-year-old female who gave birth 1 month ago presents with sudden development of fever, neck pain, sore throat with dysphagia, and radiation of pain to the ear. Which of the following conditions is most important to consider?
A. Diptheria
B. Epiglottitis
C. Thyroiditis
D. Otitis media
ANS: C
Painful subacute thyroiditis involves inflammation of the thyroid gland. A variant, postpartum thyroiditis occurs within 6 months of giving birth and is generally painless. Although the etiology of painful subacute thyroiditis is not clear, it may have a viral trigger. Patients commonly complain of pain in the throat and/or neck, with radiation to an ear. Onset is described as relatively sudden, and associated symptoms include fever, malaise, and achiness. The throat pain may be associated with dysphagia.
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