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The Intern At Work: Internal Medicine
95. A Bump in the Road - An Approach to the Thyroid Nodule
Jul 4, 2021
Dr. Sara Awad and Dr. Laura Marcotte discuss the approach to thyroid nodules in this episode. Topics include types of nodules, diagnostic methods, risk assessment, and management strategies. They highlight the importance of tailored care plans and collaboration with endocrinologists for optimal patient outcomes. The chapter on medullary thyroid cancer screening emphasizes the use of prococitonin as a reliable marker for early detection.
13:19
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Quick takeaways
- Differentiate between benign and malignant thyroid nodules based on history, physical exam, and lab tests.
- Tailor investigation and management of thyroid nodules according to risk factors and nodule characteristics.
Deep dives
Thyroid Nodules Primer
Thyroid nodules are found in 5% of healthy adults and are more common in women. Imaging studies reveal incidental nodules in 50% of adults. While 85-90% of thyroid nodules are benign, 10-15% can be malignant. Identifying whether a nodule poses a cancer risk or is benign is crucial.
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