thyroid nodule. - cadbury

[ArchivalUser]

cadbury
I think vammfire posted a very nice article, please read that.
But the link that I promised, here is that link, I followed it during my CK

http://www.medscape.com/content/2000/00/...ca.fig.jpg

[ArchivalUser]

thanks TH and vammfire
i always have confusion with thyroid nodule and both links are v helpful

[ArchivalUser]

No 1) assess wether the patient has hyperthyroidism /not---- first step in mgmt is S.TSH

no 2) a)if TSH is NOrmal ( cold nodule ) has a very high chances of being malignant so ----- next step in mgmt would be FNAC (if palpable) and USG GUIDED FNAC (if not palpable)

b) if TSH is LOW ------- NExt step would be to do a RADIO iODINE UPTAKE SCAN ------if this scan shows nodule is cold-------next step would again be FNAC ,,,,,, if the scan says the nodule is hot----no need for FNAc ?anything

c)if TSH is HIGH --------implies primary hyperthyroidism------NEXT step in mgmt would be SERUM T3 /T4 to confirm and treat wid antithyroid drugs.

And in all if result is MALIGNAT /SUSPICIOUS/FOLLICULR ca ------next step would be surgery
and otherwise jusr follow up wid thyroid hormone levels and observe .....

)

[ArchivalUser]

reshelp08, a correction in what u said...........
point c) if TSH is high, it implies secondary hyperthyroidism....... (central / pituatry cause)

[ArchivalUser]

the links are very good.
Thanks Vammfire & Th.

[ArchivalUser]

thank you

[ArchivalUser]

will be helpful to many.......