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20 Cards in this Set
- Front
- Back
thyroid disease is more common in men/women
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women
|
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tx options for graves'
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anti thyroid drugs
radioiodine thyroid resection propranolol |
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2 antithyroid drugs
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PTU
methimazole |
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radioiodine has a cure rate of ___. it is contraindicated for ___ (3).
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90%
pregnant women breastfeeding women people with suspicious nodule |
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4 indications for surgery in graves
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suspicious/malignant nodule present
pregnancy & failure of antithyroid meds compressive sx children under 5 |
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diffuse toxic goiter is aka ___
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graves'
|
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diffuse non-toxic goiter is commonly caused by ___
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iodine deficiency
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hot nodules are always/sometimes/rarely cancer
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rarely
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warm and cold nodules require ___
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FNA
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if FNA results are ___ or ___, you need surgical biopsy
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hurthle cell/follicular
inconclusive |
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thyroid ca idoof
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papillary
follicular medullary anaplastic |
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3 well-differentiated thyroid cas
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papillary
follicular hurthle cell |
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for papillary carcinoma in kids, do ___
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total thyroidectomy
|
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for small papillary carcinoma in adults, do ___
for large papillary carcinoma in adults, do ___ |
lobectomy + isthmusectomy
total thyroidectomy |
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first step in thyroid nodule workup
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thyroid function tests
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if thyroid function tests are elevated, do ___
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I131 scan
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if I131 scan detects a hot nodule, do ___ or ___. otherwise do ___.
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radioablation
surgery follow |
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if thyroid function tests are normal, do ___.
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US
|
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if US finds a cystic growth, do ___. otherwise do ___.
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cytology on aspirate
FNA |
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if the cyst aspirate is positive, do ___. otherwise do ___ (2).
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surgery
follow repeat US in 6 months |