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Is it focal or diffuse? Focal masses in the thyroid include thyroglossal cyst, toxic adenoma, colloid cyst, Riedel's struma, nontoxic adenoma, and malignancies.
Is there movement with protrusion of the tongue? This is a ... DIAGNOSTIC WORKUP
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Thyroid Lesions
Adenoma (benign)
Atypical
Embryonal (trabecular)
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... Elevated Serum Thyroid-Stimulating Hormone
Primary hypothyroidism
Overt (low free T4)
Subclinical (normal free T4)
Assay problems
 ... Suppressed Serum Thyroid-Stimulating Hormone
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... The environment contains thousands of pathogenic microorganisms — viruses, bacteria, fungi, and parasites. Ordinarily, we protect ourselves from infectious organisms and other harmful invaders through an elaborate network of safeguards ... Host defense system ... Antigens ... B lymphocytes ... T lymphocytes ... Macrophages ... Cytokines ... Complement system ... Polymorphonuclear leukocytes ... Immune disorders ... Hypersensitivity disorders ... Type I hypersensitivity (allergic disorders)
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... Papillary and follicular carcinomas are the most common types of thyroid cancer and are usually associated with a longer survival. Papillary carcinoma accounts for half of all thyroid cancers in adults; it's most common in young adult females and... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Inflammation of the thyroid gland occurs as autoimmune thyroiditis (long-term inflammatory disease), subacute granulomatous thyroiditis (self-limiting inflammation), Riedel’s thyroiditis (rare, invasive fibrotic process), and... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone thyroxine. If no... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Stephen F. Wheeler and David E. Bybee
Goiter, an enlarged thyroid gland, is the most common thyroid abnormality. Goiter is termed endemic if it occurs in more than 10% of a population. Endemic goiter most commonly results... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Stephen F. Wheeler and David E. Bybee
Palpable nodules are present in 4% to 7% of adults. Prevalence is four to nine times greater in women than men. Approximately 5% of all solitary nodules are carcinomas.
Approach The... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor
❑ Laryngeal cancer
&... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Hashimoto thyroiditis
❑ Multinodular goiter
❑ Follicular adenoma
❑ Thyroid cyst ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Chronic fatigue and immune dysfunction syndrome (CFIDS) — also known as chronic fatigue syndrome, chronic Epstein-Barr virus [EBV], benign myalgic encephalomyelitis, and “Yuppie flu” — is typically marked by debilitating fatigue, neurologic... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Thyroid cancer occurs in all age groups, especially in persons who have had radiation treatment to the neck area. Papillary and follicular carcinomas are most common and are usually associated with prolonged survival.
Papillary carcinoma... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Inflammation of the thyroid gland occurs as autoimmune thyroiditis (long-term inflammatory disease), postpartum thyroiditis, subacute granulomatous thyroiditis (self-limiting inflammation), Riedel’s thyroiditis (rare, invasive fibrotic process), and... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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