Pre PACES Podcast #5 Thyroid disease
15 snips
Mar 28, 2021 Dr. Jodie Sabin, a consultant endocrinologist specializing in thyroid disease, joins to discuss nuances of thyroid presentations relevant to PACES. She breaks down key aspects of history-taking and examination techniques, including recognizing signs of thyroid eye disease and neck lumps. Jodie emphasizes essential investigations and management options for conditions like Graves' disease and hypothyroidism. Wrapping up on a fun note, she showcases her knowledge in a rapid-fire quiz about the Great British Bake Off!
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Plan Before Entering Station Five
- In station five you have 8 minutes to take a focused history, examine and explain a management plan, so plan tightly before entering the room.
- Use the 5-minute preview to scribble a checklist and priorities to avoid missing key thyroid questions.
Three Common Presentation Patterns
- Thyroid disease often presents as eye signs, neck lumps or systemic thyrotoxic symptoms, so always consider these three domains.
- Keep an open mind because thyroid problems can present subtly across many systems.
Focus Questions For Eye Symptoms
- Ask the patient what bothers them most and then cover the spectrum of thyroid eye problems including vision, pain, redness and movement restriction.
- Differentiate new onset symptoms from long-standing allergic-type eye symptoms to detect active thyroid eye disease.
