129 results
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Thyroid Goiter in ... lost to care and thyroid ... Note the neck mass ... indicating likely thyroid ... #Thyroid #Mass #
Mediastinal Mass - Differential Diagnosis
Anterior Mediastinal Mass:
 • Thymus (Thymoma, carcinoma, hyperplasia, cyst)
 • Lymphoma
 •
Mediastinal Mass ... Anterior Mediastinal Mass ... Intrathoracic thyroid ... Middle Mediastinal Mass ... #Mediastinal #Mass
Causes of Mediastinal Mass - Differential Diagnosis Algorithm
Anterior Mediastinal Mass:
 • Thyroid
 • Thymoma
 • Teratoma
of Mediastinal Mass ... Anterior Mediastinal Mass ... : • Thyroid ... Middle Mediastinal Mass ... #Mediastinal #Mass
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
a Retrosternal Thyroid ... #Retrosternal #Thyroid ... vascular #neck #mass
Graves’ Disease: Pathogenesis and Clinical Findings
B & T lymphocyte mediated autoimmunity attack TSH receptor -> Continuous
thyroglobulin, Thyroid ... also attack other thyroid ... thyroglobulin, thyroid ... Hoarseness, Dysphagia, Thyroid ... GravesDisease #pathophysiology
Neck Mass - Differential Diagnosis Framework
Inflammatory:
 • Viral (reactive): EBV, HIV
 • Bacterial: Staph/Strep, Tularemia, Brucella
Neck Mass - Differential ... Neoplasm: • Primary: Thyroid ... BCM_InternalMed #Neck #Mass
SUMMARY FOR YOUR NOTES:
- The thyroid appears as an epithelial proliferation of the floor of the
NOTES: - The thyroid ... as a mass of endodermal ... this time, the thyroid ... fistula - Aberrant thyroid ... tissue #Thyroid
Neck Mass - Differential Diagnosis Algorithm
Congenital Neck Mass:
 • Thyroglossal Duct Cyst
 • Branchial Cleft Anomalies
Neck Mass - Differential ... Congenital Neck Mass ... • Lymphoma • Thyroid ... Carcinoma • Thyroid
Amiodarone Thyroid Complications
Amiodarone: 
 - iodine-rich, similar structure to T4, with half life up to 100d
Amiodarone Thyroid ... directly toxic to thyroid ... pts w/ latent thyroid ... leads to excess thyroid ... endocrinology #diagnosis #pharmacology
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 ... release of stored thyroid ... ThyroidStorm #Management #Pharmacology