Thyroid Flashcards
In case of Thyroid nodule
With LOW TSH
What do you do next?
Thyroid scan
In case of Thyroid nodule
With HIGH TSH
What do you do next?
Ultrasound then FNA
Regardless of TSH
A thyroid nodule must undergo FNA if […]
Size >1x1 cm
Thyroid nodule with low TSH
low RAI
Most likely is […]
Subacute thyroiditis
Thyroid nodule with low TSH
High RAI
Most likely is […]
Diffuse uptake: Graves
Nodular: Toxic multinodular goiter
Single Nodule: Adenoma
Initial treatment of hot nodule […]
Antithyroid (methimazole, PTU) + ß-b for symptom control
Then RAI or surgery
If you have a case of symptomatic hot nodule you have to choose […]
as initial drug for symptomatic relief
Beta blocker
In what cases surgery is needed for hot nodule?
-Compressive symptoms (dysphagia)
-Exophthalmos
-Failure of medical treatment
What surgical procedure is for treatment of hot nodule?
Total or
Near-total thyroidectomy
🚫Subtotal is wrong
What is your management in case of
Cold nodule, bethesda 1
nondiagnostic
Repeat FNA
What is your management in case of
Cold nodule, bethesda 2
benign
Follow up with US
What is your management in case of
Cold nodule, bethesda 3
AUS/FLUS
Repeat FNA
What is your management in case of
Cold nodule, bethesda 4
FN/SFN
Lobectomy (hemithyroidectomy)
What is your management in case of
Cold nodule, bethesda 5
sus malignant
Near-total thyroidectomy
What is your management in case of
Cold nodule, bethesda 6
Malignant
Near-total thyroidectomy
