Evaluation of Thyroid Nodules. Eric Oliver August 30, 2007. Objectives. Discuss Common Causes of Thyroid Nodules Highlight Application of Imaging Studies in Evaluation of the Thyroid Nodule. The Thyroid Nodule.
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August 30, 2007
A 16 year old female is seen because of a 6 month history of fatigue, nervousness, tremor, heat intolerance, polyphagia and weight loss. Her scholastic work has declined in quality. Recently she noticed some enlargement of her neck and prominence of her eyes. Physical examination reveals: B.P. 130/60 mm Hg., pulse 96/minute, smooth warm skin, eyelid retraction, symmetric thyroid enlargement, fine hand tremor and mild muscle weakness. Her TSH is low.
TR is a 40 year old female who presents for her annual physical. On exam, you palpate a 1.5x 2 cm nodule in the right lobe of her thyroid gland. The nodule is non-tender and mobile. Both her TSH and free T4 are normal.
What test would you order next?
Hegedus: N Engl J Med,
October 21, 2004.