Dr. Eve Bloomgarden, a board-certified endocrinologist from Northwestern University, shares her expertise on hyperthyroidism. She breaks down the nuances of interpreting thyroid function tests and conducting thorough examinations. The discussion includes insights on Graves' disease and its potential impact on eye health. Bloomgarden also covers treatment options like methimazole, radioactive iodine, and surgical interventions. Listeners will learn about the challenges of diagnosing thyroid disorders, especially with biotin supplements in play.
01:11:06
forum Ask episode
web_stories AI Snips
view_agenda Chapters
auto_awesome Transcript
info_circle Episode notes
insights INSIGHT
TSH Dynamics in Thyroid Function
TSH is a pituitary hormone inversely related to thyroid hormone levels.
A low TSH with high free T4 or T3 indicates hyperthyroidism or thyrotoxicosis.
volunteer_activism ADVICE
Distinguish Lid Lag From Graves Eye Disease
Examine for lid lag and stare as signs of sympathetic overdrive.
Differentiate these from Graves ophthalmopathy, which shows proptosis and eye tissue swelling.
volunteer_activism ADVICE
Refer Graves Patients to Ophthalmology
Refer all Graves patients for baseline ophthalmology exam.
Early referral enables monitoring and management of potentially subtle eye disease.
Get the Snipd Podcast app to discover more snips from this episode
Blazing hot tips to diagnose and treat hyperthyroidism with Dr Eve Bloomgarden, @evebmd (Northwestern). We cover a ton of ground including how to: interpret thyroid function tests, use your thumbs (or an ultrasound) to examine the thyroid, become an expert on Graves’ orbitopathy, prescribe methimazole and decide who needs surgery or radioactive iodine therapy. Plus, a bit on subclinical hyperthyroidism. This episode is on fire!
Written and Produced by: Tima Karginov and Matthew Watto MD, FACP
Infographic by: Tima Karginov
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Eve Bloomgarden MD
Sponsors: Pediatrics On Call podcast by the American Academy of Pediatrics
If you provide medical care to children, Pediatrics On Call — the new podcast from the American Academy of Pediatrics — will help you do it better. Each week, hear the latest news and research on children's health, on topics from obesity and mental health to keeping the kiddos safe when they’re stuck at home. Subscribe from your favorite podcast provider or find the latest episodes here.
VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.
Time Stamps
00:00 Intro
03:15 Guest one-liner, favorite failure, Picks of the Week*
08:50 Sponsor
10:37 Background, Definition of Hyperthyroidism, thyrotoxicosis; Basic labs
14:20 Case from Kashlak, Symptoms of Hyperthyroidism
25:00 Grave’s eye disease: exam, therapy and counseling
32:35 Thyroid exam and ultrasound
38:55 Thyroid Stimulating Immunoglobulin
41:00 Biotin
44:30 Thyroid Scintigraphy
49:00 Causes of Thyrotoxicosis
52:00 Treatment & Adherence to antithyroid medication (methimazole)
The Curbsiders Internal Medicine Podcast