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Endo 3y > OME Thyroid Nodules > Flashcards

OME Thyroid Nodules Flashcards

1
Q

Pt with Nodule RF for CA

A

Hx of RAdiation head/Neck (Hodgkin Lymphoma survivors: most severe RF)
H/O CA, Fam Hx CA
Hoarseness
Age under 20 or over 60

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2
Q

Pt W/ Nodule Physical

A

Fixed, firm, hard, NT LN

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3
Q

Pt w/ nodule U/S

A 
Solid
hypoechogenic
Size >2 (doesn't matter if nothing else is positive, bx it)
Microcalcificaiton
Irregular borders.
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4
Q

Pt w/ nodule multiple elements vs multiple absence

A

multiple elements get bx.

multiple absence: what do you do to avoid bx

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5
Q

Papillary

A

Most common thyroid cancer=85%
Orphan Annie-nuclei
Resection is TX

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6
Q

Follicular

A

FNA- “Thyroid”
Spread hematogenously
Radioactive I2 ablation

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7
Q

Medullary

A

C-cells=Calcitonin- hypocalcium
Asso w/ RET oncogene,
Pheochromocytoma, MEN

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8
Q

Aplastic

A

Elderly
Locally Invasive
Fatal

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Endo 3y (13 decks)

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