Pathology Flashcards

1
Q

What is subclinical hypothyroidism?

A

Where TSH is high but it is still managing to stimulate enough T4 production.

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2
Q

Does subclinical hypothyroidism usually progress to overt hypothyroidism?

A

Usually yes

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3
Q

Can thyroiditis produce oncocytic change in cells?

A

Yes (sometimes called Hurthle cells)

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4
Q

What are histological signs of papillary thyroid cancer?

A

Psammamatous calcification (black substance)
Orphan annie nuclei (nuclei very pale with central clearing)
Nuclear grooves and inclusions

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5
Q

Symptoms of EBV infection.

A

Sore throat
Lymphadenopathy
Jaundice
Upper abdo pain

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6
Q

Investigations/management for EBV infection and why?

A

FBC - risk of haemolysis and thrombocytopaenia
Penicillin - hypersensitivity to amoxicillin
Rest (risk of splenic rupture)

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