Multinodular Goitre Treatment Flashcards

1
Q

what investigations should be done for a multinodular goitre

A

assess function with TSH and structure with CT scan

sometimes found incidentally on CXR

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2
Q

what symptoms may be caused by invasion/compression by multinodular goitre

A

stridor, choking while lying flat

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3
Q

what TSH levels are usually seen with multinodular goitre

A

usually normal or slightly suppressed, occasionally need ATDs or radioiodine

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4
Q

what should be looked for on CT scan of multinodular goitre

A

retrosternal extension, tracheal compression

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5
Q

what treatment options are there for multinodular goitre

A

most leave them alone as not causing problem, radioiodine if significant hyperthyroidism, surgery

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6
Q

in what patients would surgical treatment of multinodular goitre be considered

A

is structural problem or significant retrosternal extension, lifestyle affecting symptoms, possibility of cancer, significant tracheal compression

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7
Q

how can multinodular goitre affect flow volume loops

A

extrathoracic compression on lungs by multinodular goitre reduces inspiratory flow
(can cause orthopnoea)

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