An interactive discussion about malignant and benign pediatric thyroid disorders between Todd Ponsky, MD and Diana Diesen, MD.
Dr. Diesen is assistant professor of surgery and pediatric surgery fellowship program director at the University of Texas Southwestern Medical Center and is a member of the Children's Health Pediatric Thyroid Center at the Children's Medical Center of Dallas.
Contents
00:00 Introduction
02:31 Asymptomatic thyroid nodule
03:00 History
04:08 Risks factors for thyroid nodules and cancers
04:25 Family history
04:56 Physical exam
05:24 Physical exam pearls
06:03 Concerning physical exam findings
06:56 Laboratory evaluation
07:42 Thyroid scintigraphy
08:08 Hot thyroid nodules
09:13 Nodule with normal TSH
09:26 Thyroid ultrasound
10:15 Thyroid cysts
10:52 Lesion size and FNA biopsy
11:53 Anesthesia for FNA
12:30 Lymph node evaluation
13:12 Suspicious lymph node features
13:40 Papillary thyroid cancer
14:34 Lobectomy vs thyroidectomy
16:05 Thyroidecomy technique
17:07 Use of nerve monitor
17:40 Lymph node dissection
18:59 Post-operative management
20:37 Follow up
21:43 Radioactive iodine ablation
22:38 Thyroid hormone replacement therapy
22:54 Follicular cells on FNA
24:59 Frozen section for follicular lesions
25:55 Follicular carcinoma
26:36 Follicular adenoma
27:14 Pharmacologic TSH suppression
28:12 Benign FNA
29:45 Inadequate FNA specimen
30:32 Medullary carcinoma
33:22 Multiple endocrine neoplasia
37:26 Management of pheochromocytoma and hyperparathyroidism in MEN 2B
38:27 Central lymph node dissection in medullary thyroid cancer
39:42 Post-op medullary thyroid care
41:08 Recurrent/persistent medullary thyroid cancer
41:38 Systemic chemotherapy for MTC
42:03 Grave’s disease
42:57 Painful thyroid
Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: http://creativecommons.org/licenses/by/3.0/
