what causes subacute thyroiditis? {Ans: presumed to be caused by a viral infection or a postviral inflammatory process. Many patients have a history of an upper respiratory infection prior to the onset of thyroiditis seasonal incidence (higher in summer) Large-needle thyroid biopsies reveal widespread infiltration with neutrophils, lymphocytes, histiocytes and giant cells, disruption and collapse of thyroid follicles, and necrosis of thyroid follicular cells}gold standard for dx renal artery stenosis? what can be used to monitor disease progression? {Ans: renal arteriography But really a spiral CT angiography is very useful and probably more likely done first duplex doppler US can be used to monitor disease progression}what are some GI tract sx associated with B12 and folate deficiencies? {Ans: B12 - glossitis (including pain, swelling, tenderness, and loss of papillae of the tongue) folate - oral ulcers}how would you work up a patient with treatment resistant hypertension that you suspect a secondary cause? {Ans: 24-hour ambulatory monitoring (to ensure not white coat) medical hx (assess adherence to meds, other meds) physical exam (look for abominal/renal bruits) labs (electrolytes, glucose, creatinine, UA) If pheo suspected: measure fractionated metanephrines and catecholamines in a 24-hour urine collection}Allergies to antibiotics are