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Exogenous Thyroid Hormone Self-administered or accidental overdose ↓ TSH, ↑ T4, but low thyroglobulin (key clue) Thyroid Storm – Step 2 Classic Life-threatening condition triggered by: Infection Surgery Stress Seen in patients with untreated hyperthyroidism 🧠 Look for: fever, tachycardia, agitation, GI distress → can lead to coma Treatment: β-blockers + PTU + steroids + iodine Step-Style Sample Question A 34-year-old woman presents with weight loss, insomnia, and increased sweating
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