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A 45-year-old woman presents to the emergency department with a 1-week history of a painful mass in her neck. The patient reports the mass has slowly been enlarging over this time span and has become more painful to the touch. She also reports night sweats, weight loss, and diarrhea. Review of systems is notable only for a minor cold a few weeks ago. Her temperature is 100°F (37.8°C), blood pressure is 122/80 mmHg, pulse is 160/min, respirations are 19/min, and oxygen saturation is 100% on room air. Physical exam is notable for a diffusely enlarged thyroid that is tender to the touch. An ECG is performed as seen in Figure A. Which of the following is the most likely diagnosis?
Subacute granulomatous thyroiditis
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