17 results
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... by iodine deficiency ... bruno.farnetano #Thyroid ... #iodine #deficiency
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... by iodine deficiency ... bruno.farnetano #Thyroid ... #iodine #deficiency
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Toxic multinodular goiter ... Toxic uninodular goiter ... Toxic diffuse goiter ... Toxicosis • Iodine ... Thionamide - 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 ... Toxic multinodular goiter ... #radioactive #iodine
Approach to the Diagnosis of Hyperthyroidism - Differential Diagnosis and Workup Algorithm

 • Secondary Hyperthyroidism (↑↔TSH,
Diagnosis and Workup Algorithm ... , Multinodular goiter ... Radioactive Iodine ... • Exogenous thyroid ... Differential #Diagnosis #Algorithm
Thyroid Disorders - Differential Diagnosis Algorithm
Hypothyroidism:
 • Hasimoto’s
 • Radioactive Iodine 
 • Hypopituitarism
 • Iodine
Thyroid Disorders ... Differential Diagnosis Algorithm ... • Radioactive Iodine ... Hypopituitarism • Iodine ... @AmyChung #Thyroid
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
Toxic multinodular goiter ... increased radioactive iodine ... increased radioactive iodine ... decreased radioactive iodine ... decreased radioactive iodine
Endemic Thyroid Goiter on Physical Exam

Note the movement of the thyroid mass with swallowing.

Dr. Bruno Farnetano
Endemic Thyroid ... Goiter on Physical ... movement of the thyroid ... #Goiter #PhysicalExam ... #iodine #deficiency
lodine deficiency
Food
lodine excess
Stress
Catecholamines
Estrogens
Carrier defect
Nat
TRH
Hypothalamic lesion
Dopamine
Somatostatin
Glucocorticoids
TSH
Pituitary insufficiency
Autoimmune disease
TSI
Peroxidase
Peroxidase deficiency
ОН
TG
DIT
Coupling
ОН
Cell proliferation
Thyroglobulin
TG
Cell damage by tumor, inflammation, etc.
Proteolysis
Goiter
TG
MIT
ОН
Defective conversion
T4
TG
TG
Storage
Colloid
Genetic defect,
lodine deficiency ... Food lodine excess ... Proteolysis Goiter ... TG Storage Colloid ... epithelial cell of the thyroid
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Differential Diagnosis Algorithm ... - Autoimmune Thyroid ... - Autonomous Thyroid ... Toxic Multinodular Goiter ... Differential #Diagnosis #Algorithm