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Thyroid Disease
Learning Objectives
Case Presentation
After thorough history and physical, what would you order first for this patient?
What would you order first for this patient?
Important Points – Patient History
Case Presentation
What components of the physical exam are critical for this patient?
Case PresentationPatient is sent for labs as well as FNA. Patient returns to clinic the following week with FNA report reading “follicular cells, cannot rule out follicular neoplasm”. Is surgery indicated for your patient at this time?
Surgery is indicated. Follicular cells on FNA can be a benign finding or may indicate follicular carcinoma.
Indications for Thyroidectomy
Etiologies of Thyroid nodules
Tests
Imaging
Thyroid ULTRASOUND
Treatment
Algorithm/Overview
Complications of thyroidectomy
Take home Points
Resources
Acknowledgements

Physical Exam
What components of the physical exam are critical for this patient?Full Head and neck exam to look for any “lumps or bumps”Palpate for lymphadenopathyPalpate thyroid for nodularity, firmness or hard massesFiberoptic or direct laryngoscopy to evaluate vocal cord function