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MULTINODULAR GOITER INVESTIGATION

Endocrinology

MULTINODULAR GOITER INVESTIGATION

1. Low TSH + MNG (i.e. hyperthyroid) - do scintigraphy.
2. Target cold nodules on scintigraphy - attack with US!
3. Suspicious features on US - do FNA.
4. No suspicious features - stop!

( Ref: 2010 American Association of Clinical Endocrinologists practice guidelines)


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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