Thyroid Flashcards
pre operative work up for thyroid nodule
Ultrasound
criteria for FNA (fine needle aspiration biopsy)
nodules ≥1 cm with suspicious U/S
features
most nodules ≥1.5 cm with low suspicion U/S features
Complications of lobectomy
recurrent laryngeal nerve palsy (hoarseness or swallowing issues), neck hematoma
Complication of total thyroidectomy
hypoparathyroidism/hypocalcemia
recurrent laryngeal nerve palsy (hoarseness or swallowing issues), neck hematoma
(+) thyroid UTZ
high TSH
next step?
UTZ guided biopsy
(+) thyroid UTZ
low TSH
next step?
thyroid scan
(+) thyroid UTZ
low TSH
hot nodule
next step?
no biopsy
threat hypothyroidism
(+) thyroid UTZ
low TSH
cold nodule
next step?
UTZ guided biopsy
treat hyperthyroidism