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Old 08-09-2011
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Default solitary thyroid nodule

A 12-year-old girl has a solitary thyroid nodule found on routine examination; she has no symptoms. Which of the following is the most appropriate next step for this patient?
a. Fine needle aspirate
b. CT scan of the neck
c. Serum thyroid function tests
d. Trial of suppressive T4 treatment to look for nodule shrinkage
e. Excisional biopsy
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Old 08-09-2011
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Quote:
Originally Posted by usmleman2020 View Post
A 12-year-old girl has a solitary thyroid nodule found on routine examination; she has no symptoms. Which of the following is the most appropriate next step for this patient?
a. Fine needle aspirate
b. CT scan of the neck
c. Serum thyroid function tests
d. Trial of suppressive T4 treatment to look for nodule shrinkage
e. Excisional biopsy

d. you want to see if she is euthyroid or not, or if she is subclinical hypo/hyperthyroidism... after that only will I go for FNA.
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Old 08-09-2011
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A. Fnac...
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Old 08-09-2011
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a. Fine needle aspirate
most important initial step
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