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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 ... DIAGNOSTIC WORKUP
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Is it bilateral or unilateral? Bilateral exophthalmos would suggest hyperthyroidism. Unilateral exophthalmos suggests orbital tumor, ... DIAGNOSTIC WORKUP
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Proptosis, or exophthalmos, may be caused by inflammatory, infectious, neoplastic, traumatic, or vascular etiologies. Thyroid-associated orbitopathy is by far the most common cause of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Proptosis is a finding that usually signals significant pathology. Regardless of duration of symptoms, a rapid evaluation is necessary to discover and treat malignancy or conditions that will result in visual loss.
... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Salivary gland enlargement in pediatric patients is usually associated with an inflammatory or infectious process. Benign tumors are more common than malignancies, but the probability for malignancy in a solid mass is higher in children... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The mnemonic VINDICATE is a useful and quick way to recall the causes of exophthalmos (for enophthalmos see the section on ptosis, page 441).
V—Vascular disorders include a carotid–
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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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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Exophthalmos — the abnormal protrusion of one or both eyeballs — may result from hemorrhage, edema, or inflammation behind the eye; extraocular muscle relaxation; or space-occupying... History and physical examination ... Medical causes ... Special considerations ... History and physical examination ... ... Special considerations ... Pictures
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... Thyroid Lesions
Adenoma (benign)
Atypical
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... Diffuse Goiter
Euthyroid or hypothyroid
Cigarette smoking (thiocyanate)
Increased intrinsic growth potential ... Multinodular Goiter ... Nongoiter Neck Masses ... References
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... Exophthalmos (also called proptosis) is the unilateral or bilateral bulging or protrusion of the eyeballs or their apparent forward displacement (with lid retraction). The prognosis depends on the... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Simple (or nontoxic) goiter is a thyroid gland enlargement that isn’t caused by inflammation or a neoplasm, and is commonly classified as endemic or sporadic. Endemic goiter usually results... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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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... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Exophthalmos—the abnormal protrusion of one or both eyeballs—may result from hemorrhage, edema, or inflammation behind the eye; extraocular muscle relaxation; or space-occupying intraorbital lesions and metastatic... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
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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... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Thyroid Nodule
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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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... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Hashimoto thyroiditis
❑ Multinodular goiter
❑ Follicular... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Grave disease
❑ Familial
❑ Orbital asymmetry
❑ ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
Pigmented
❑ Nevus
❑ Seborrheic keratosis
❑ Atypical nevus ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Nontoxic or simple goiter — thyroid gland enlargement not caused by inflammation or a neoplasm — is commonly classified as endemic or sporadic.
Endemic goiter usually... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Exophthalmos — the abnormal protrusion of one or both eyeballs — may result from hemorrhage, edema, or inflammation behind the eye; extraocular... History ... Physical assessment ... Medical 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Exophthalmos—the abnormal protrusion of one or both eyeballs—may result from hemorrhage, edema, or inflammation behind the eye; extraocular muscle relaxation; or space... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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...
The mnemonic VINDICATE is a useful and quick way to recall the
causes of exophthalmos (for enophthalmos, see the section on ptosis, page 369).
V—... Pictures
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... Adda Grimberg, MD Goiter - BASICS Goiter - description Goiter is enlargement of the thyroid gland. Goiter - epidemiology The most common cause of ... Goiter - DIAGNOSIS ... Goiter - TREATMENT ... Goiter - FOLLOW UP ... Goiter - bibliography ... Goiter - CODES ... Goiter - FAQ
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