ESR Module (021) Practical of Thyroid Gland Flashcards
• A 40 female patient complains of recent unexplained weight gain, increased sensitivity to cold whether and she feels easily fatigue.
• Physical examination reveals mild diffuse enlargement of the thyroid gland which is confirmed by ultrasonography.
• Her thyroid hormone profile shows hypothyroid function.
• Further auto antibody testing shows anti-TPO (antithyroid peroxidase) and anti-Tg (anti-thyroglobulin) antibodies.
• Thyroidectomy is done
What is the most likely diagnosis?
Hashimoto’s thyroditis
• A 35 years old woman complains of neck swelling causing disfigurement. The condition started one year ago with slow progression but she seeked medical advice once she felt difficulty in swallowing.
• Her labs showed low T3 and T4 serum levels and high TSH level
• Ultrasound image shows enlargement of thyroid lobes
and isthmus multiple solid &
cystic thyroid nodules.
• A 35 years old woman complains of neck swelling causing disfigurement. The condition started one year ago with slow progression but she seeked medical advice once she felt difficulty in swallowing.
• Her labs showed low T3 and T4 serum levels and high TSH level
• Ultrasound image shows enlargement of thyroid lobes
and isthmus multiple solid &
cystic thyroid nodules.
What is meant by a hot nodule?
A nodule that is producing too much hormone and show up darker in the scan is called “hot “
A 45 years old female patient presented by right side neck slowly growing swelling of 9 months duration. The past week she experienced difficulty in swallowing. On physical examination the mass was rubbery in consistency, freely mobile and moves up and down with deglutition.
Her labs showed normal
thyroid profile.
Can you differentiate between follicular adenoma and follicular carcinoma by FNA?
You can’t differentiate between follicular adenoma and follicular carcinoma by FNA because capsular and/or vascular invasion is necessary to diagnose follicular carcinoma which is can be only detected in tissue biopsy.
A 45 years old female patient presented by right side neck slowly growing swelling of 9 months duration. The past week she experienced difficulty in swallowing. On physical examination the mass was rubbery in consistency, freely mobile and moves up and down with deglutition.
Her labs showed normal
thyroid profile.