Accepted at 3:57 p.m. Dec, 06, 2023 by Cameron
Author: cardamomo
Related Note: 1462228521890
Rationale for change

For the mention of a cold nodule; cold nodules may be thyroid carcinoma, thyroid lymphoma, or metastatic (rare). https://next.amboss.com/us/article/bg0HF2?q=thyroid%20nodule#Z39253f1aa7bfa8f5dc23572740b1feca

Secondly, I-123 is preferred for the diagnosis of thyroid disorders, not I-131. The AMBOSS article lists only I-123 in reference to radioactive uptake studies. UpToDate mentions I-123 as the preferred isotope for thyroid scintigraphy and radioactive iodine uptake. https://www.uptodate.com/contents/diagnostic-approach-to-and-treatment-of-thyroid-nodules?search=i-123%20scintigraphy&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

Also, "further biopsy" is incorrect as no biopsies would have been done this point in the diagnostic workup. A FNA biopsy may be warranted based on the results of the scan. See above UpToDate link for reference.

Minor proposition: For formatting of isotopes, there are two common formats: the added one is the name or symbol of the particular element, immediately following by a hyphen and the mass number. (https://isotopes.gov/isotope-basics).

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#AK_Step1_v12::#FirstAid::08_Endocrine::04_Pathology::08_Thyroid_adenoma::*Thyroid_Nodule #AK_Step1_v12::#SketchyPath::07_Endocrine::04_Thyroid_&_Parathyroid::04_Thyroid_Nodules_&_Cancer #AK_Step1_v12::#OME::PreClinical::04_Organ_Systems::06_Endocrine::03_Thyroid::03_The_Unhealthy_Thyroid_Structural_Disorders !AK_UpdateTags::Step1decks::Zanki-Step-Decks::Zanki-Endocrine::Endocrine-Pathology #AK_Step1_v12::#Bootcamp::Endocrinology::04_Thyroid::09_Thyroid_Malignancies #AK_Step1_v12::^Other::^HighYield::4-LowerYield #AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Endocrine::Endocrine_Pathology #AK_Step1_v12::#B&B::08_Endocrinology::01_Thyroid::03_Thyroid_Cancer #AK_Step1_v12::^Systems::Endocrine::Pathology #AK_Step1_v12::#Physeo::11_Pathology::02_Endocrine_Pathology::04_Thyroid_Neoplasia #AK_Step2_v12::#B&B::04_Endocrinology::01_Thyroid_Gland::04_Thyroid_Nodules #AK_Step1_v12::#Pathoma::15_Endocrine::03_04_05_06_07_Thyroid_Gland #AK_Step1_v12::#OME::04_Organ_Systems::06_Endocrine::03_Thyroid::03_The_Unhealthy_Thyroid_Structural_Disorders #PANCE::EOR::Surgery #AK_Step1_v12::#B&B::08_Endocrinology::01_Thyroid::02_Thyroid_Disorders::Extra !AK_UpdateTags::AnKing_Image::Sameem !AK_UpdateTags::AnKing_Image::Mujeeb::Thyroid_nodule #PANCE::ENDO::thyroid_disorders