Any enlargement of the thyroid gland
Classification on the basis of
Location (cervical vs. substernal)
Morphology (diffuse vs. nodular)
Functional status (hypothyroid, euthyroid, or hy...
Neck swelling, patient or physician noted
Incidental finding on imaging, especially with substernal goiter
Occasional obstructive symptoms
Hyperthyroid—iodine-131 (I-131), antithyroid drugs, and surgery all considered reasonable options. The choice of therapy depends on symptoms, size ...
Ultrasound annually for nodular goiter
TSH annually for euthyroid goiters to detect development of hypothyroidism in thyroiditis or hyperthyroidi...
E04.9 Nontoxic goiter, unspecified
E04.2 Nontoxic multinodular goiter
E05.00 Thyrotoxicosis w diffuse goiter w/o thyrotoxic crisis
E03.0 Congenital hypothyroidism with diffuse goiter
TSH is best initial screening test for both hypothyroidism and hyperthyroidism.
Any nodule with suspicious features by history, exam, or ultrasound should be biopsied.
Treatment of goite...
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