prep4usmle
Administrator
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30 old patient with a thyroid nodule.
What to do first:
- Sonogram
- FNA
- T3, T4, TSH
- Thyroid Scan
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| Yulia
Forum Elite
Topics: 19
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i would go for thyroid function tests first thing.
if normal - fna next.
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| prep4usmle
Administrator
Topics: 288
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Correct, thyroid function tests are ordered first.
If thyroid function tests shows normal or hypothyroidism go for FNA to rule out the cancer.
If thyroid function tests shows hyperthyroidism the next step is?
- Sonogram
- FNA
- Thyroid Scan
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| prep4usmle
Administrator
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If the thyroid function tests shows hyperthyroidism for the patient with a thyroid nodule the next step in the management is the thyroid scan.
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| Babby_blue
Forum Newbie
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You need to do FNA anyways as part of the evaluation of a single Thyroid nodule. A minimal amount of single nodules are bening but you don't want to miss a malignancy, isn't that right?
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| mingle
Forum Senior
Topics: 27
Posts: 109
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i thought kaplan says the first test for a nodule is to do an fna? sonogram is the first choice in a goiter. we scan the pt only if there is a tft anomaly
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