Endocrine Flashcards
Thyroid nodule biopsy criteria
give percent malignancy rate for each
What should not be performed during work up if there is clinical, lab and imaging pointing towards PTH CA
surgical approach
biopsy – seeding
enbloc resection for gross neg margins
What is the diagnostic test for hyperaldosteronism?
2 confirmatory tests
ald:renin >30, inc aldost, dec renin, hypoklemia
Salt loading and captopril test
another name for Lugols solution
what are 3 benefits of this postop
KI
dec hypoPTH, dec hoarseness transiently, and limits stress causing thyroid storm
increasingly common medication induced thyroidtitis
next step after biochemical dg of hyperthyroidism with goiter
amiodarone
radioiodone scan
what is the cancer range for bethesda 3
what further work up should be done?
3 thyroid cancer oncogens
6-48
molecular to rule in - 6% risk can obs
braf, ras, ret
how many localization studies for PTH
which ones
what does an adenoma look like on u/s
2
u/s and sesta
well defined with single feeding vessel
post op hypoPTH tx
if asymptomatic?
oral supplements
still yes
intermediate/high risk thyroid cancer findings
why does this matter
perithyroid invasion
papillary with vasc inv
mets
N1
BRAF multifocoal
post op radioiodinedecsion
highes risk of recurrence features for thyroid cancer
MEN 1 recommendations for hyper PTH
subtotal with tyhmectomy
