Complications in Thyroid Surgery and How to Avoid Them

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Complications in Thyroid Surgery and How to Avoid Them

John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_22 © Springer-Verlag London 2014 22. Complications in Thyroid Surgery and How to Avoid Them M. A. Alzahrani1 and Gregory W. Randolph1   (1) Otolaryngology – Head and…

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Surgery for Thyrotoxicosis

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Surgery for Thyrotoxicosis

System Symptoms/signs Neurological Restless, nervous, emotional, irritable Insomnia Tremor Gastrointestinal Diarrhea Weight loss and increased appetite Reproductive Oligomenorrhea/amenorrhea Decreased libido Thyroid Goiter Cardiac Palpitations Dyspnea Chest pain Tachycardia/atrial fibrillation Dermatological…

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Anaplastic Thyroid Cancer

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Anaplastic Thyroid Cancer

John C. Watkinson and David M. Scott-Coombes (eds.)Tips and Tricks in Endocrine Surgery201410.1007/978-1-4471-2146-6_17 © Springer-Verlag London 2014 17. Anaplastic Thyroid Cancer Caroline Connolly1   and John Glaholm1 (1) Department of Oncology, Queen Elizabeth Hospital Cancer Centre, Edgbaston, Birmingham,…

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Medullary Thyroid Cancer

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Medullary Thyroid Cancer

Medullary thyroid cancer (100 %) Pheochromocytoma (50 %) Multiple neuroma of lip, tongue, and buccal mucosa (>90 %) Prominent corneal nerve fibers Ganglioneuromatosis of the GI tract (producing constipation) Marfanoid…

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Management of the Indeterminate Thyroid Nodule

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Management of the Indeterminate Thyroid Nodule

Royal College of Pathologists-modified BTA nomenclature US Bethesda System (BSRTC) Risk of malignancy (%) Thy1: Nondiagnostic I: Nondiagnostic 0–10 Virtually acellular specimen Other (blood, clotting artifacts, etc.) Thy1c: Nondiagnostic –…

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Pheochromocytoma and Paraganglioma

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Pheochromocytoma and Paraganglioma

Syndrome Gene (chromosome)a,b Clinical manifestations % With PHEO % Bilateral von Hippel-Lindauc VHL (3p25-p26) PHEO, cerebellar hemangioblastoma, retinal angiomas, renal cell carcinoma, pancreatic cysts, pancreatic NETs in 5–10 % 10–20…

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Surgery for Benign Thyroid Disease

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Surgery for Benign Thyroid Disease

Simple(nontoxic) goiter Multinodular Solitary thyroid nodule Follicular adenoma Thyroid cyst Toxic goiter Diffuse (Graves’ disease) Toxic multinodular (Plummer’s disease) Solitary toxic adenoma Inflammatory goiter Acute suppurative thyroiditis Subacute (painless) lymphocytic,…

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Assessment of Goiter

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Assessment of Goiter

Classification Finding 0 No goiter palpable or visible 1a Goiter detected by palpation only 1b Goiter palpable and visible with neck extended 2 Goiter visible with neck in normal position…

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Minimally Invasive Adrenal Surgery

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Minimally Invasive Adrenal Surgery

Fig. 7.1 Patient position for posterior retroperitoneoscopic adrenalectomy The patient is positioned prone with hips and knees flexed, with the side of surgery as near to the side of the…

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Adrenal and Paraganglioma: Presentation, Assessment, and Diagnosis

Feb 26, 2017 by in ENDOCRINOLOGY Comments Off on Adrenal and Paraganglioma: Presentation, Assessment, and Diagnosis

Amiloride Estrogen (combined oral contraceptive pill, hormone replacement therapy) Diuretics ACE inhibitors Angiotensin II receptor blockers Dihydropyridine calcium channel blockers Heparin Lithium Nonsteroidal anti-inflammatory drugs (NSAIDs) Plasma renin activity will…

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