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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 ... #PhysicalExam #iodine ... endocrinology #clinical
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 Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... • Radioactive Iodine ... Hypopituitarism • Iodine ... @AmyChung #Thyroid
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... increased radioactive iodine ... uptake; thyroid ... uptake; thyroid ... concentrations of TSH and thyroid
Amiodarone Thyroid Complications Amiodarone: - iodine-rich, similar structure to T4, with half life up to 100d
Amiodarone Thyroid ... Amiodarone: - iodine-rich ... pts w/ latent thyroid ... dz: iodine load ... Wolff-Chaikoff effect (iodine
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism Overview Clinical ... Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
thyroxine • Iodine ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... #radioactive #iodine
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Hyperthyroidism / Thyroid ... Blocks synthesis of thyroid ... Blocks synthesis of thyroid ... • Teratogenic Iodine ... release of stored thyroid
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm • Secondary Hyperthyroidism (↑↔TSH,
Radioactive Iodine ... disease • Low iodine ... goiter Radioactive Iodine ... • Thyroiditis, Iodine ... • Exogenous thyroid
Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
2 years • No thyroid ... cost Radioactive Iodine
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... of pregnancy, critical ... symmetrically enlarged thyroid ... → Radioactive Iodine
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