Thyroid Eval


Check TSH TSH Check T3/T4 T4 RAI uptake
  uptake
Grave's Disease - Diffuse uptake
- (+) TSI
-  Pretibial myxedema, exophthalmos, and a thyroid thrill or bruit.
Toxic Nodular - Solitary
- (+) Anti-Thyroid Peroxidase Ab
- (+) Anti-thyroglobulin Ab
 
 
  uptake
Sub-acute thyroiditis GLanduLar PainfuLL (2 Ls)
Lymphocytic PainLess (1 L)
Exogenous TBG
Struma-ovarii No findings on the neck

Post-Partum
T3/T4 initially , then .
+/- Anti TPO Ab
 
T4 Secondary Hypothyroidism
Pituitary Apoplexy
 

Sheehan Syndrome
 
Hashimoto
- Anti-Microsomal Ab
- Anti-TPO Ab
- Risk of Lymphoma
 
Normal

(+)Nodule
Likely Cancer
Medullary Adenoma

R/O Pheochromocytoma
Follicular Adeonoma - Criteria: No invasion of tumor capsule & vessels
-- Complete thyroidectomy
Papillary Adenoma/Carcinoma - Most Common Malignant thyroid CA
- Near Total Thyroidectomy
Colloid - Most common Benign thyroid CA