The Curbsiders Internal Medicine Podcast #470 Thyroid Nodules and Thyroid Cancer for Primary Care
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Feb 10, 2025 Join Dr. Kaniksha Desai, a board-certified endocrinologist from Stanford, and Dr. Ana Chindris from the Mayo Clinic, as they unravel the complexities of thyroid nodules and cancer management. They discuss risk stratification techniques, the role of GLP-1 agonists, and the importance of personalized care in follow-up protocols. From exploring the Bethesda system for nodule categorization to addressing compressive symptoms, this engaging conversation provides valuable insights for primary care professionals while revealing their personal passions outside medicine.
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Subtle Hyperthyroidism Symptoms
- Ana Chindris had patients with personality changes as a subtle symptom of hyperthyroidism.
- After normalizing TSH with low-dose methimazole, their personality improved.
Thyroid Exam Tips
- Examine the thyroid from behind, one side at a time, using your fingertips.
- Inform patients that nodules under a centimeter might not be palpable.
Limitations of Palpation
- Studies show that 50% of thyroid nodules over one centimeter are missed on physical exam.
- This is important to communicate to patients who are concerned about not feeling their nodule.