37 results
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... goiters caused ... by iodine deficiency ... #PhysicalExam #iodine
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake
Reduced uptake:
 • Thyroiditis
 • Exogenous
Differentiation of Causes ... thyroxine • Iodine ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... #radioactive #iodine
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... uptake; thyroid ... uptake; thyroid ... procedure that ablates thyroid
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine ... hyperthyroidism #causes
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm
Beta-Blockers 
• Decreases sympathetic hyperactivity 
• Partially blocks peripheral conversion
Pharmaceutical Management ... Hyperthyroidism / Thyroid ... Blocks synthesis of thyroid ... • Teratogenic Iodine ... #ThyroidStorm #Management
Graves' Disease Treatment
Thionamides (mainly methimazole)
 • Chance of remission in up to 2 years
 • No
2 years • No thyroid ... cost Radioactive Iodine ... Disease #Treatment #Management
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... CNI, Alcohol, Cocaine ... Other Endocrine causes ... : Thyroid disease ... low renin HTN causes
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Radioactive iodine ... concern for nodular thyroid ... workup choices AND management
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
dark, - 10% cocaine ... (Lung, Breast, Thyroid ... Diagnosis #Algorithm #Causes
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... methylphenidate, cocaine ... Priapism #Diagnosis #Management