Goitre Flashcards
Physiological causes of Goitre (2)
Puberty, Pregnancy
Autoimmune causes of Goitre? (2)
Graves Disease
Hashimotos Disease
Thyroiditis causes of Goitre (2)?
Acute De Quervain Chronic Fibrotic (Reidel)
What deficiency causes Endemic Goitre?
Iodine Deficiency
Which two miscellaneous types of goitre? (2)
Sarcoidosis
Tuberculosis
Risk of Malignancy in Solitary Nodule Thyroid? (5)
Adults less than 30 and over 60 Child Previous H+N Irradication Cervical Lymphadenopathy 5% Chance
Investigations for Solitary Thyroid Nodule? (3)
Thyroid Function test Ultrasound Fine Needle Aspiration -Thy 2: Benign -Thy 5: Cancer
Causes of Goitre? (6)
Genetics MNG AITG Iodine Deficiency Malignancy Tshoma
WHO Classification of Goitre. What is 0, 1a, 1b, 2 and 3
0: Impalpable
1a: palpable and invisible on extension
1b: palpable and visible on extension
2 visiable
3: visible at distance
Tests for Goitre (3)
TFT
US
CT
Thyroidectomy Complications?
Bleed Voice Change Hypocalcaemia Hypoparathyroidism Long Term Thyroid Supplements Vocal Cord Function
Why could there be a voice change after a thyroidectomy?
damage to recurrent laryngeal nerve
How to check for Hypoparathyrodism after a Thyroidectomy? (5)
Chvosteck and Trosseu Sign
Parathesia, Numb, Tetany
