Medical Post Graduation | ENT | Thyroid swelling & parathyroid disorders

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In primary thryotoxicosis, features of raised thyroid hormone levels are

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Tachycardia

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Fine tremor

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Goitre

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Opthalmoplegia

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Pretibial myxoedema

A discret swelling of thyroid is a

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Carcinoma

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Follicular adenoma

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Cyst

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Colloid degeneration

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Thyroiditis

Thyroglossal cyst

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Is a midline neck swelling

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May contain thyroid tissue

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Is attached to the base of the tongue

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Is a remnant of the fifth pharyngeal arch mesoderm

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Does not move with deglutition

Followings are differentiated thyroid carcinoma

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Papillary

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Follicular

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Medullary

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Anaplastic

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Lymphoma

Followings are the differentiated thyroid carcinoma

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Follicular

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Papiilary

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Anaplastic

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Lymphoma

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Medullary

Psammoma bodies are seen in

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Meningioma

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Papillary carcinoma of thyroid

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Astrocytoma

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Glioblastoma multiforme

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Cranyopharyngioma

Carcinoma of Thyroid

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Papillary type carries the most favourable prognosis

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Medullary type may be inherited in an autosomal dominant fashion

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Follicular type is characterized by psammoma bodies

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Follicular type commonly metastasizes the regional lymph nodes

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Anaplastic type often secrets calcitonin

Indication for calcium supplementation in total thyroidectomy are

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Circumoral paresthesia

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Carpo-pedal spasm

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Stridor

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ECG abnormality

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Calcium level less than 9 mg/dL

Following immediate complications may happen after thyroid surgery

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Tension haematoma

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Respiratory obstruction

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Storm

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Thyroid insufficiency

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Parathyroid insufficiency

Immediate problems of post thyroidectomy include

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Wound haematoma

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Hypocalcaemia

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Thyroid crisis

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Laryngeal stridor

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Tracheal stenosis