11 results
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... caused by iodine ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... caused by iodine ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake
Reduced uptake:
 • Thyroiditis
 • Exogenous
Differentiation of Causes ... thyroxine • Iodine ... loading • Ectopic ... Toxic multinodular goiter ... hyperthyroidism #endocrinology
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... Toxic uninodular goiter ... Toxic diffuse goiter ... hyperthyroidism #causes ... #differential #endocrinology
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

 • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... , Multinodular goiter ... Radioactive Iodine ... Differential #Diagnosis #Algorithm ... #endocrinology
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Differential Diagnosis Algorithm ... Toxic Multinodular Goiter ... Differential #Diagnosis #Algorithm ... #endocrinology ... #causes
Graves Disease - Autoimmune Hyperthyroidism
Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50
Diagnosis: 
1 )
Epidemiology: Most common cause ... palpitations, Goiter ... • Radioactive iodine ... Thyroidectomy (goiter ... diagnosis #management #endocrinology
Endemic Thyroid Goiter on Physical Exam

Note the movement of the thyroid mass with swallowing.

Dr. Bruno Farnetano
Endemic Thyroid Goiter ... bruno.farnetano #Thyroid #Goiter ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
high; in some cases ... Toxic multinodular goiter ... increased radioactive iodine ... increased radioactive iodine ... differential #diagnosis #endocrinology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
• Discuss with endocrinology ... about adding Tolvaptan ... SIADH — look for cause ... hourly • Identify Cause ... Hyponatremia #Management #algorithm