Accepted at 6:27 p.m. Oct, 31, 2023 by dollajas
Author: tdn416
Related Note: 1536751228882
Rationale for change

UWorld algorithm states normal or elevated TSH → likely cold nodule → FNA

This card contradicts the elevated TSH/cold nodule rule in other cards. Radioiodide scintigraphy should be used for low TSH instead

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Extra
- *Nodule > 1 cm + high-risk feature on ultrasound → FNA
- *Nodule > 2 cm → FNA
- High risk sonographic features include irregular margins, microcalcifications, and/or internal vascularity
- If low TSH → thyroid scintigraphy/nuclear scan (often combined with RAIU scan)

Lecture Notes
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Pathoma
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Sketchy 2
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Bootcamp


Watch associated Bootcamp video - Thyroid : Hyperthyroidism: Other Causes

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#AK_Step2_v12::!Shelf::Surgery::no_dupes #AK_Step2_v12::#OME::06_Surgery::03_Surgical_Subspecialties::03_Endocrine_Diseases !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::1-OME::3 #AK_Step2_v12::#OME::Clinical::06_Surgery::03_Surgical_Subspecialties::03_Endocrine_Diseases #AK_Step3_v12::#UWorld::5243 #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::subspecialty::endo #AK_Step2_v12::#Subjects::Endocrinology::05_Thyroid_Gland::*Thyroid_Nodule_Workup #AK_Step2_v12::Original_decks::Dorian::surg::ome::subspecialty::endo #AK_Step2_v12::#AMBOSS::hDacV5 #AK_Step2_v12::#AMBOSS::9T0NG2 #AK_Step1_v12::#Bootcamp::Endocrinology::04_Thyroid::05_Hyperthyroidism:_Other_Causes #AK_Step2_v12::$AnKingUpdates::$Errata::v12 #AK_Step2_v12::!Shelf::Surgery::no_dupes::only_step2 #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::1surgery #AK_Step2_v12::#B&B::04_Endocrinology::01_Thyroid_Gland::04_Thyroid_Nodules !AK_UpdateTags::Algorithm::Thyroid_Nodule