THYROID
SUMMARY OF
INDEX
SIMPLE GOITER
TOXIC GOITER
THYROID CARCINOMA
THYROIDITIS
MISCELLANEOUS
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, · CONG. GOITER.
· INFLAM. GOITER. SIMPLE TOXIC
(THYROIDITIS) GOITER GOITER
· NEOPLASTIC GOITER
Non inflam., non neoplastic & non toxic 1RY TOXIC GOITER 2RY TOXIC GOITER SOLITARY TOXIC
enlarg. of thyroid gl. (euthyroid) due to (GRAVE’S DS.) (PLUMMER’S DS.) NODULE
AGE Young ♀ 20 - 30 Middle age ♀30 - 40 Occur at any age.
ETIOLOGY Type V HS Longstanding SNG. - SNG
I2 DEFECIENCY DEFECTIVE SYNTHESIS - functioning
(100-125 mgm / day) of Th. hormones follicular adenoma
ONSET Sudden Gradual Gradual
COURSE Fluctuating. Progressive. Progressive
· ABSOLUTE ¯: water supply Goitrogenic subst. Enzyme defeciency CL./P · Acropathy False exophthalmos.
as in Oasis & mountains. · Pretibial myxedema Invest.: as Grave’s but Th. scan shows hot
· RELATIVE ¯: during stress · True exophthalmos. nodule dt active nodules or inter-nodular nodular t.
periods of life as puberty - MAIN · Nervous + Metabolic · CVS dt old age. · Old à CVS
pregnancy - lactation. 1) Diet: Cabbage - Cauliflower MANIFEST. · HSM + LN++ · Young à CNS
2) Water poluotion. THYROID · Diffuse ++ · Nodular & firm. · Single nodule in
GLAND · Mass with toxicity. · Mass b4 toxicity.
3) Drugs containing I2: normal gland.
· hyper-vascularity.
a) Asthmatic pts.
TTT. · Mainly Medical. · STT after prep. I131 of choice or
b) Anti-thyroid. · I 131
if HF. hemithyroidectomy
· If failed or RSG:
after prep.
< 45 ys. = STT.
> 45 ys. = I131 1
SUMMARY OF
INDEX
SIMPLE GOITER
TOXIC GOITER
THYROID CARCINOMA
THYROIDITIS
MISCELLANEOUS
if you found it useful
kindly share!
, · CONG. GOITER.
· INFLAM. GOITER. SIMPLE TOXIC
(THYROIDITIS) GOITER GOITER
· NEOPLASTIC GOITER
Non inflam., non neoplastic & non toxic 1RY TOXIC GOITER 2RY TOXIC GOITER SOLITARY TOXIC
enlarg. of thyroid gl. (euthyroid) due to (GRAVE’S DS.) (PLUMMER’S DS.) NODULE
AGE Young ♀ 20 - 30 Middle age ♀30 - 40 Occur at any age.
ETIOLOGY Type V HS Longstanding SNG. - SNG
I2 DEFECIENCY DEFECTIVE SYNTHESIS - functioning
(100-125 mgm / day) of Th. hormones follicular adenoma
ONSET Sudden Gradual Gradual
COURSE Fluctuating. Progressive. Progressive
· ABSOLUTE ¯: water supply Goitrogenic subst. Enzyme defeciency CL./P · Acropathy False exophthalmos.
as in Oasis & mountains. · Pretibial myxedema Invest.: as Grave’s but Th. scan shows hot
· RELATIVE ¯: during stress · True exophthalmos. nodule dt active nodules or inter-nodular nodular t.
periods of life as puberty - MAIN · Nervous + Metabolic · CVS dt old age. · Old à CVS
pregnancy - lactation. 1) Diet: Cabbage - Cauliflower MANIFEST. · HSM + LN++ · Young à CNS
2) Water poluotion. THYROID · Diffuse ++ · Nodular & firm. · Single nodule in
GLAND · Mass with toxicity. · Mass b4 toxicity.
3) Drugs containing I2: normal gland.
· hyper-vascularity.
a) Asthmatic pts.
TTT. · Mainly Medical. · STT after prep. I131 of choice or
b) Anti-thyroid. · I 131
if HF. hemithyroidectomy
· If failed or RSG:
after prep.
< 45 ys. = STT.
> 45 ys. = I131 1
