thyroid nodule workup - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 09-09-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 54
Threads: 24
Thanked 13 Times in 10 Posts
Reputation: 23
Default thyroid nodule workup

still confused...
UW says check TSH first
In Kaplan videos Dr. Charles says (very strongly) FNAB is done first.

Reply With Quote Quick reply to this message



  #2  
Old 09-09-2013
billy's Avatar
USMLE Forums Guru
 
Steps History: Not yet
Posts: 444
Threads: 109
Thanked 370 Times in 208 Posts
Reputation: 380
Post

First TSH and T4 are measured if they are normal then FNA is done.
__________________
You only live once,but if you do it right,once is enough.
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
The above post was thanked by:
swwal (09-11-2013)
  #3  
Old 09-09-2013
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 24
Threads: 2
Thanked 6 Times in 6 Posts
Reputation: 16
Default Thyroid nodule work-up

Dr.Charles says do FNAC if it is a 'non-functioning' nodule. The way to determine that a nodule is non-functioning is to do a TSH level. It should be normal.
Reply With Quote Quick reply to this message
 
  #4  
Old 09-09-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 54
Threads: 24
Thanked 13 Times in 10 Posts
Reputation: 23
Default

Thanks!
Reply With Quote Quick reply to this message
  #5  
Old 09-09-2013
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 634
Threads: 47
Thanked 324 Times in 162 Posts
Reputation: 335
Default

UW has a different algorithm. You do thyroid function tests and USG for all thyroid nodules. If patient has risk of thyroid cancer you do an FNA. If patient has a suspicious USG you do an FNA. If no risk factors and normal USG look at TSH. If normal or high do FNA. If low, do I 123 uptake studies, if hit nodule its not cancer. If its cold nodule you need to do an FNA to rule out cancer.
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Thyriod Nodule Workup; FNA versus Ultrasound gear2d USMLE Step 2 CK Forum 0 03-19-2013 11:21 AM
Thyriod Nodule Workup gear2d USMLE Step 2 CK Forum 1 03-18-2013 12:29 PM
Thyroid Nodule Workup aknz USMLE Step 2 CK Forum 20 02-13-2013 11:13 AM
Thyroid nodule workup: When to do FNA? drZoe USMLE Step 2 CK Forum 2 02-06-2012 05:05 PM
solitary thyroid nodule usmleman2020 USMLE Step 1 Forum 3 08-09-2011 10:12 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)