How to Manage a Goiter History: symptoms of compression or cancer, family history,exposure to goitrogens, and comorbidities. Physical examination: Visual inspection, palpation, auscultation,Pemberton’s maneuver ( hands over your head...
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Goiter Complications 1: Airway Obstruction Flow Volume loop test done by pulmonary lab at your local hospital can document the reason for your shortness of breath is from upper airway obstruction due to your large goiter not COPD, bronchitis or...
More info Why Fix Your Large Nodular Goiter? Here is What Can Go Wrong Airpipe ( tracheal compression) causing shortness of breath,respiratory distress,cough,choking sensation. Food pipe ( esophageal compression) causing difficult swallowing. Recurrent...
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What Things Promote Goiter Formation? Iodine Intake, iodine deficiency in some countries. Iodine excess, Brazil and Japan and thyroid support supplement and Kelp eaters in the USA . Chemicals, Thiocyanate in cigarettes, Perchlorate in...
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How do You Get a Nodular Goiter? Low level TSH stimulation and goitrogens in environment cause the first step. Resulting hyperplasia,hypertrophy forms the Diffuse Goiter. Further TSH stimulation along with somatic mutations leads to follicular...
More infoBefore and After Ethanol Ablation of a Large Benign Cystic Thyroid Nodule 55 Y/O female with symptomatic right thyroid cystic nodule.Multiple drainage procedures failed.She was referred for surgery. She saw me for evaluation of alternative...
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Causes of Rare Central Hypothyroidism Invasive Lesions, Pituitary tumors, other lesions in the area of the pituitary cancer metastatic disease, aneurysms, Causes by physicians, surgery,radiation, drugs. Injury: head trauma, Infarction: pituitary...
More info Thyroid failure due to Other Causes Thyroid ablation Radiation or Surgery: Graves’, toxic nodular goiter,External Beam: Hodgkins, head and neck tumors aplastic anemia,Leukemia. Drugs: Lithium, interferon, tyrosine kinase inhibitors...
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Free T4 and TSH in Hypothyroidism Primary Hypothyroidism TSH high Free T4 low Subclinical hypothyroidism TSH high Free T4 normal Central hypothyroidism TSH normal or low Free T4 low Normal TSH and Free T4 normal.
More info Low risk conditions: < 2% risk: routine adult and children visits.Dementia, sleep apnea, mental disorders. Moderate risk (3-10%) Goiter,thyroid nodules, Lithium therapy, autoimmune diseases, Graves’ eye disease,Postpartum, elderly ,High...
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Types of Autoimmune Thyroiditis Hashimoto’s thyroiditis — course — chronic — goiter, lymphocytic infiltrate thyroid cell hyperplasia — Hurthle cell metaplasia Atrophic thyroiditis —- Course —...
More info Clinical Findings in Specific Causes of Hypothyroidism Diffuse or nodular goiter —- Hashimioto’s thyroiditis, ingestion of anti-thyroid substances,iodine deficiency, headache —- pituitary or hypothalamic tumors visual...
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