5. Goitre Flashcards
1
Q
How common is it?
A
Common - 15% of UK population
2
Q
Who does it affect?
A
More common in women
Geographical areas eg Derbyshire
3
Q
What causes it?
A
Iodine deficiency Hyper-/hypothyroidism Hormone changes eg menopause Thyroiditis Radiation Thyroid cancer Lithium
4
Q
What risk factors are there?
A
Female
Increasing age
5
Q
How does it present?
A
Swelling in the throat Cough Tight feeling in throat Dysphagia Hoarseness Dyspnoea
6
Q
What signs may the patient have on examination?
A
Swelling moves on swallowing
7
Q
How would you investigate?
A
TFT, serum TSH
8
Q
What treatments are there?
A
Radioiodine treatment
Thyroidectomy
9
Q
What complications are there?
A
Dysphagia Tracheal compression Lymphoma Pain Cosmetic problems - embarrassment
