Difference between revisions of "Endocrinology"
Jump to navigation
Jump to search
| Line 2: | Line 2: | ||
*Workup of thyroid nodule almost always ends with FNA, the one exception is '''a patient without suspicious US findings or cancer risk factors, a low TSH, and a hot nodule on 123-Iodine scan (toxic adenoma).''' For these patients '''go straight to treatment (Methimazole pretreatment to achieve euthyroid > RF ablation vs. surgery)''' | *Workup of thyroid nodule almost always ends with FNA, the one exception is '''a patient without suspicious US findings or cancer risk factors, a low TSH, and a hot nodule on 123-Iodine scan (toxic adenoma).''' For these patients '''go straight to treatment (Methimazole pretreatment to achieve euthyroid > RF ablation vs. surgery)''' | ||
*Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia). | *Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia). | ||
| + | *During vitamin B12 repletion, you should monitor '''serum potassium, which can drop as new RBCs are formed.''' | ||
=Hypercalcemia= | =Hypercalcemia= | ||
Revision as of 18:48, 13 January 2023
Missed Concepts
- Workup of thyroid nodule almost always ends with FNA, the one exception is a patient without suspicious US findings or cancer risk factors, a low TSH, and a hot nodule on 123-Iodine scan (toxic adenoma). For these patients go straight to treatment (Methimazole pretreatment to achieve euthyroid > RF ablation vs. surgery)
- Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia).
- During vitamin B12 repletion, you should monitor serum potassium, which can drop as new RBCs are formed.
Hypercalcemia
- H&P:
- Dx: Best initial test is PTH
- Tx: