Thyroid Disorders to include Thyroid Nodule Flashcards

1
Q

Most small ________ are asymptomatic and discovered incidentally on physical or radiologic examination

A

thyroid nodules

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2
Q

Although 90% of thyroid nodules are benign, the presence of a thyroid nodule warrants referral to_______ by an IDC.

A

endocrinology

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3
Q

Causes of solitary thyroid nodule include what?

A

1) Benign adenoma
2) Colloid nodule
3) Cyst
4) Primary thyroid malignancy or (less frequently) metastatic neoplasm

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4
Q

THYROID NODULE
These issues are higher risk of what?
1) History of head-neck radiation in childhood
2) Family history of thyroid cancer
3) Personal history of another malignancy

A

malignancy

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5
Q

Most of the time the only signs and symptoms of thyroid nodule is…

A

the nodule…..

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6
Q

What is suggested by these S/s
1) Hoarseness or vocal cord paralysis
2) Nodules in men or young women
3) Nodule that is solitary, firm, large, or adherent to trachea or strap muscles
4) Vocal cord paralysis
5) Enlarged lymph node(s)
6) Distant metastatic lesions

A

Malignancy

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7
Q

Large retrosternal multinodular goiters can cause dyspnea due to

A

tracheal
compression

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8
Q

Labs/rads for thyroid nodule

A

-Thyroid-stimulating hormone (TSH) and free thyroxine (FT4) can exclude hypothyroidism or hyperthyroidism
-Neck ultrasound indicated for all palpable nodules

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9
Q

Thyroid nodule
_______ is preferred over CT and MRI because of its accuracy

A

Ultrasound

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10
Q

Solid nodules often ______
cystic nodules usually_____

A

Solid nodules often malignant
cystic nodules usually benign

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11
Q

Treatment thyroid nodule

A

(a) Refer to endocrinology (thyroid biopsies typically performed by an endocrinologist or interventional radiologist)
(b) Ultrasound guided fine-needle aspiration (FNA) biopsy of suspicious nodules (thyroiditis may coexist with malignancy)

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12
Q

Disposition if nodule is suspected to be malignant

A

MEDEVAC

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13
Q

Disposition if nodule is suspected to be benign.

A

referral to Endocrinology

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14
Q

Toxic multinodular goiter and hyperfunctioning nodules can cause __________

A

hyperthyroidism

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15
Q

PT with nodule has these S/s what would you suspect?
1) Sweating
2) Weight loss
3) Anxiety
4) Loose stools
5) Heat intolerance
6) Tachycardia
7) Tremor

A

hyperthyroidism
(caused by Toxic multinodular goiter and hyperfunctioning nodules)

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