Difference between revisions of "Endocrinology"
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=Missed Concepts= | =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)''' | *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). | ||
+ | |||
=Hypercalcemia= | =Hypercalcemia= | ||
*H&P: | *H&P: | ||
*Dx: Best initial test is '''PTH''' | *Dx: Best initial test is '''PTH''' | ||
*Tx: | *Tx: |
Revision as of 18:46, 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).
Hypercalcemia
- H&P:
- Dx: Best initial test is PTH
- Tx: