Multinodular goitre - Usmle step 1 pathology lecture and case presentation скачать в хорошем качестве

Multinodular goitre - Usmle step 1 pathology lecture and case presentation

📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:-   / drgbhanuprakash   📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- https://t.me/bhanuprakashdr 📌𝗦𝘂𝗯𝘀𝗰𝗿𝗶𝗯𝗲 𝗧𝗼 𝗠𝘆 𝗠𝗮𝗶𝗹𝗶𝗻𝗴 𝗟𝗶𝘀𝘁:- https://linktr.ee/DrGBhanuprakash Multinodular goitre ------------------------------- Multinodular goitre (MNG) is defined as an enlarged thyroid gland (i.e. goitre) due to multiple nodules which may have normal, decreased or increased (toxic nodule) function. It is a slightly unhelpful term as some multinodular thyroids are not enlarged, resulting in the unwieldy term "multinodular non-enlarged thyroid". Clinical presentation --------------------------------- MNG is seen more commonly in females (M:F=1:3) in the 35-50 years age range, who present with nodular enlargement in the midline of the neck. Patients are usually euthyroid, but the nodules may also be hypo- or hyperfunctioning, resulting in systemic symptoms from hypothyroidism or hyperthyroidism. Treatment and prognosis ----------------------------------------- Treatment of multinodular goitre may be pursued if the thyroid is hyperfunctioning, or if the goitre is causing local mass effect. There is no standard treatment and choice of treatment depends on local practice patterns, the activity of the goitre, and the results of FNA of any suspicious nodules. surgery: partial or complete resection radioiodine: occasionally used dose = (thyroid weight x planned radioiodine delivery to thyroid) / radioiodine uptake hypothyroidism may occur as an adverse event Conservative management is also an option as some goitres decrease their rate of growth or may even decrease in size