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Medicine

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Endocrine

Question
15 out of 18
 

True about toxic adenoma of thyroid?



A Free T3 & T4 are raised

B Radioiodine is the treatment of choice

C Injection ethanol injected in the adenoma under ultrasound guidance.

D All of the above

Ans. D

All of the above

1). There is a solitary hot nodule producing T3 and T4.

2). On isotope the nodule is 'hot' and the rest of the gland is suppressed.

3). Rx Radioiodine is the treatment of choice. Surgery can be done in some cases.

Recent Advancement in treatment: (PNQ)

Injection ethanol is injected in the adenoma under ultrasound guidance.

1). Seen in the elderly and in iodine-deficient areas-.

2). There are multiple nodules (hot nodules) that secrete thyroid hormones.

3). Treatment:

a. Control the thyrotoxicosis first with medication, then follow with radioiodine.

b. Surgery is indicated if there are compressive symptoms from the enlarged thyroid (dysphagia or dyspnea)

Endocrine Flashcard List

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