zaidsuror
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In medicince the treatment of hyperthyroidism was generalized and divided into two phases :
1-acute phase :b-blockers and antithyroid drugs
2-radioiodine ablation
N.B.in children surgery is the definitive treatment and in pregnant smaller doses of b-blockers and propylthiouracil are used and in the second trimester surgery is the definitive treatment.
In Kaplan's surgery i read that in a confirmed hyperthyriod individual with a nodule ,a scan is done and if nodule is found to be the cause(uincreased uptake) then it can be removed alone s[paring the gland.if all the gland was hyperactive treat like medicine.
so should we carry out the last approach in an individual who is hyperthyriod and found on exam to have a solitary nodule?
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| virgola82
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So you're asking how to work a patient with single thyroid nodule up, right?
It actually depends on TSH. If that's normal than the first step is FNA; if TSH is low than you do a radioisotope scan to confirm that it's a hot nodule and than treat only if symptomatic with antithyroid drugs followed by surgery if necessary, or use only antithyroid drugs if the patient is old and with subclinical hyperthyroidism
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| zaidsuror
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It sounds reasonble.Could you just state the source you read it from,so that i can enforce this answer to my group study with that reference. tahnk you
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| virgola82
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I think I read that on either Pestana's surgery notes or on UpToDate. I studied thyroid from both so i can't exactly recall where found this
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