Goitre

Last updated 20.09.12

 

Index

 

Definition

-  Enlarged thyroid gland

 

Features

-  May result from over or under production of thyroid hormone or iodine deficiency

-  May develop during pregnancy or puberty

-  May be nodular or not

 

Ex

-  Pembertons sign

-  Thyroid examination

 

Goitre

 

Ix

-  TFTs: TSH, FT4

-  Thyroid US: thyroid nodule

-  Thyroid scan (technechium)

-  CT Neck: retrosternal extension

 

Mx

-  Hypothyroidism

-  Euthyroid

-  S/S of obstruction: Neck CT, Thyroidectomy

-  S/S wo obstruction: Beta blockers

-  Hyperthyroidsm

-  Ultrasound +/- Thyroid scan

-  Thyrotoxicosis

-  Med Mx

-   Beta blockers

-   Carbemazole +/- PTU

-  Thyroidectomy (must be Euthyroid first)

 

 

Thyroid Exam