Presentation
Patients with unilateral vocal fold paralysis present with postoperative hoarseness. Presentation is often subacute and voice changes may not present for days or weeks. Unilateral paralysis may resolve spontaneously. [patient.info]
Presentation The clinical presentation of a patient with SLN paralysis may be subtle. Most patients do not notice any change. On occasion, a patient presents with mild hoarseness or decreased vocal stamina. [emedicine.medscape.com]
Patients with suppurative thyroiditis commonly present with acute unilateral anterior neck pain and erythema of the skin overlying an exquisitely tender thyroid. Fever, dysphagia, and dysphonia also are present. [aafp.org]
Because the thyroid gland is located in the anterior cervix, neck pain without swelling may be the only presenting symptom immediately after neck trauma. [bmcresnotes.biomedcentral.com]
The presentation of diminished thyroid function during severe or chronic illness of unrelated etiology is often difficult to determine and its treatment is controversial. [hormonesmatter.com]
Entire Body System
- Goiter
Multinodular Goiter A multi-nodular goiter is an enlarged thyroid gland with a goiter comprised of multiple thyroid nodules. [surgery.ucsf.edu]
A total thyroidectomy may be done for cancer, but also benign thyroid conditions that affect both lobes, such as Graves' disease, multinodular goiter, and substernal goiter, among others. [umm.edu]
Acute increase in goiter size during a normal pregnancy: an exceptional case report. Thyroid 2003;13:881–884. CrossRef PubMed Google Scholar 8. Grace RH, Shilling JS. [link.springer.com]
secondary toxic goiter, diffuse toxic goiter relapsing after full medical treatment, selected cases of thyroiditis (Hashimoto's thyroiditis) and thyroid cancer. [mmj.eg.net]
Few cases have been published, mostly in patients with pre-existing goiter or thyroid adenoma, and this may explain the isolated thyroid gland hemorrhage.1-4, 7 In our two patients there was no history of goiter, thyroid gland adenoma, or hyperthyroidism [redorbit.com]
- Thyroid Nodule
What is a Thyroid Nodule? A thyroid nodule is simply a lump or mass in the thyroid gland. Thyroid nodules are relatively common; 6% of adult women and 2% of adult men in the U.S. have a thyroid nodule that can be felt on examination. [surgery.ucsf.edu]
an enlarging thyroid nodule, or a benign nodule that is large enough to cause symptoms, such as difficulty swallowing, shortness of breath, or hoarseness. [umm.edu]
Leonard Wartofsky and Douglas Van Nostrand, this gold standard reference is divided into 11 Parts: General Considerations on Thyroid Cancer; General Considerations on Nuclear Medicine; the Thyroid Nodule; Well-Differentiated Thyroid Cancer; Variants of [books.google.com]
Patient selection: blunt trauma to the thyroid gland and adjacent structures Type of Injury Grade small lacerations to the parenchyma of the thyroid gland I bleeding into thyroid nodules I subcapsular hematoma in the thyroid gland I rupture of the thyroid [meducator3.net]
Indications [ edit ] Thyroid cancer Toxic thyroid nodule (produces too much thyroid hormone) Multinodular goiter (enlarged thyroid gland with many nodules), especially if there is compression of nearby structures Graves' disease, especially if there is [en.wikipedia.org]
Face, Head & Neck
- Neck Mass
Neck ultrasonography is non-invasive and gives critical information about the overlying thyroid gland and will often show an enlarged mass behind the thyroid consistent with an enlarged parathyroid gland. [kumc.edu]
Workup
[…] identification and preservation of the RLN minimizes the risk of injury. [1] Evaluation Techniques for assessing vocal fold mobility include indirect and fiberoptic laryngoscopy Documentation of vocal fold mobility should be a routine part of the preoperative workup [emedicine.medscape.com]
Treatment
A classification and an algorithm for diagnosis and treatment of thyroid gland injuries is proposed. A literature review reveals 16 case reports. [journals.lww.com]
Thyroid Storm Medical Treatment Treatment of thyroid storm consists of life support measures to support vital organ function along with attempts to reduce thyroid hormone release. [emedicinehealth.com]
After starting treatment, it may take several weeks or months for hormone levels to adjust to the normal range. On average, total treatment time is between 1 and 2 years, but it can take longer. [medicalnewstoday.com]
There is a valuable reference atlas of scan images and illustrations, and a scholarly summary of the side effects of radioiodine and how to avoid or minimize adverse effects of treatment. [books.google.com]
Thyroiditis treatment Treatment for thyroiditis depends on your type and what symptoms you have. If you have symptoms of hyperthyroidism, your doctor may prescribe a medicine called a beta blocker. [familydoctor.org]
Prognosis
Well-differentiated Thyroid Carcinoma This form of thyroid cancer has an excellent prognosis, especially for people under 45 years of age. [kumc.edu]
Furthermore, EMG may yield information concerning the prognosis of the patient with RLN injury. [emedicine.medscape.com]
Etiology
Thoroughly revised and extensively expanded, this encyclopedic, highly acclaimed title addresses all aspects of the etiology, pathogenesis, diagnosis, initial treatment and long-term management of all varieties of thyroid cancer. [books.google.com]
The presentation of diminished thyroid function during severe or chronic illness of unrelated etiology is often difficult to determine and its treatment is controversial. [hormonesmatter.com]
Thyroiditis is an inflammation of the thyroid gland that has several etiologies and can be associated with normal, elevated, or depressed thyroid function, often with evolution from one condition to another. [aafp.org]
Regardless of the etiology, the management is unchanged. If uncertainty remains 6 months after surgery, PTH levels may be checked evaluate recovery of parathyroid gland function. [emedicine.medscape.com]
The etiology of Anaplastic Carcinoma is unknown and is considered by most to be incurable. It often presents as a rapidly expanding neck mass with swallowing and breathing difficulties. [kumc.edu]
Epidemiology
Clinical review 169: interferon-alpha-related thyroid disease: pathophysiological, epidemiological, and clinical aspects. J Clin Endocrinol Metab. 2004;89:3656–61. 23. Schuppert F, Rambusch E, Kirchner H, Atzpodien J, Kohn LD, von zur Muhlen A. [aafp.org]
Pathophysiology
When the thyroid is compromised, a range of other pathophysiological processes emerge, including demyelination. [hormonesmatter.com]
Clinical review 169: interferon-alpha-related thyroid disease: pathophysiological, epidemiological, and clinical aspects. J Clin Endocrinol Metab. 2004;89:3656–61. 23. Schuppert F, Rambusch E, Kirchner H, Atzpodien J, Kohn LD, von zur Muhlen A. [aafp.org]
Prevention
It is very important that the surgeon preserves the parathyroid glands when removing the thyroid gland to prevent this serious complication. [surgicaloncology.net.au]
Prevention Preoperative awareness of the hyperthyroid patient and appropriate medical treatment are the keys preventing thyrotoxic storm. [emedicine.medscape.com]
Infection — occurs in about 1/2000 thyroid operations, and the routine use of antibiotics to prevent infection is not necessary. In general, the neck is a clean area that usually does not get infected. [endocrinediseases.org]
Louis combine their diverse skills and knowledge to relieve patients of all ages of chronic health conditions, as well as advising them about ways to prevent future illnesses and injuries. [thevanguardclinic.com]
Thyroid Storm Prevention Thyroid storm can be prevented with early treatment of hyperthyroidism and recognition of the warning symptoms of thyroid storm. Thyroid Storm Prognosis Thyroid storm is a very serious condition that can result in death. [emedicinehealth.com]