10 results
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
goiters caused by iodine ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck ... #hypothyroidism
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperdefecation • Anterior neck ... Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid ... critical illness, and ... symmetrically enlarged thyroid ... → Radioactive Iodine ... algorithm #diagnosis #endocrinology
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
increased radioactive iodine ... increased radioactive iodine ... decreased radioactive iodine ... decreased radioactive iodine ... differential #diagnosis #endocrinology
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

 • Secondary Hyperthyroidism (↑↔TSH,
Radioactive Iodine ... disease • Low iodine ... • Thyroiditis, Iodine ... • Exogenous thyroid ... Diagnosis #Algorithm #endocrinology
Graves' Disease Treatment
Thionamides (mainly methimazole)
 • Chance of remission in up to 2 years
 • No
2 years • No thyroid ... cost Radioactive Iodine ... Surgery: • Quick and ... Treatment #Management #endocrinology ... #hyperthyroidism
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
goiters caused by iodine ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck ... #hypothyroidism
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism ... Radioactive iodine ... concern for nodular thyroid ... #Hyperthyroidism ... Algorithm #Workup #Endocrinology
Endemic Thyroid Goiter on Physical Exam

Note the movement of the thyroid mass with swallowing.

Dr. Bruno Farnetano
Endemic Thyroid ... #PhysicalExam #iodine ... #deficiency #endocrinology ... clinical #video #neck ... #hypothyroidism
Amiodarone Thyroid Complications
Amiodarone: 
 - iodine-rich, similar structure to T4, with half life up to 100d
Amiodarone: - iodine-rich ... dz: iodine load ... Amiodarone Induced Hypothyroidism ... Wolff-Chaikoff effect (iodine ... Complications #endocrinology