Multinodular Goitre Flashcards
1
Q
what do you do if you find one?
A
assess function
assess structure - what is being squashed - symptoms of stridor or choking when lying flat
2
Q
what are the investigation findings?
A
TSH - usually normal or slightly suppressed may need anti-thyroid drugs
CT scan - retrosternal extension or tracheal compression
3
Q
how is it managed?
A
most can leave alone
RAI (radioactive iodine) if significant hyperthyroid
surgery if structural problem (or significant retrosternal extension)
4
Q
when to offer surgery for retrosternal goitres?
A
Lifestyle interfering symptoms
Possibility of cancer
Significant tracheal compression (?<7 mm) if symptomatic
Tracheal Flow Loops if other respiratory potential causes of orthopnoea/breathing difficulties
? Audible Stridor
