Thyroid Disease Resource Center

CLINICAL QUIZ: Thyroid Case Questions

A 66 year-old woman had a thyroid nodule incidentally discovered during magnetic resonance imaging (MRI) of the neck to evaluate neck pain. A thyroid ultrasound revealed a solitary 1.1 cm hypoechoic, solid, well-circumscribed nodule with Grade 4 vascularity on Doppler flow and no calcifications. No abnormal lymph nodes were observed. Her thyroid-stimulating hormone (TSH) level was 1.9 mIU/L (normal, 0.5-5.7 mIU/L). Fine needle aspiratory biopsy was performed, and cytology was positive for papillary thyroid carcinoma.

Thyroid Case 1

A 28 year-old Caucasian female with a history of Graves' disease status post robotic thyroidectomy two years prior presents at 24 weeks gestation for management of hypothyroidism. She is taking levothyroxine 125 mg daily since her surgery, and her hypothyroidism is well controlled. She complains of mild fatigue, but otherwise feels well. Her past medical history is otherwise significant only for seasonal allergies. She does not have a family history of autoimmune thyroid disease. She works in the fire department as a clerk.

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CLINICAL PRACTICE GUIDELINES

Thyroid Nodule Algorithmic Tool White Paper

The newly released white paper, Computer Interpretable Guidelines in Thyroid Nodule Management, presented by Jeffrey R. Garber, MD, FACP, MACE, at our 2021 Annual Meeting is now available. This manuscript describes The Thyroid Nodule App (termed TNAPP), a novel interactive web-based tool that uses clinical, imaging, cytologic, and molecular marker data to guide clinical decision making to evaluate and manage thyroid nodules.

Thyrotoxicosis has multiple etiologies, manifestations, and potential therapies. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions and patient preference.

Hypothyroidism has multiple etiologies and manifestations. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions.

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SLIDE LIBRARY

Special Considerations for Women and Thyroid Disease

Efforts must be made to improve care for women with thyroid disease who often lack access to trained providers. Inappropriate diagnosis or inappropriate dosing of hormone therapy may raise several issues for women including increased risk of miscarriages or premature labor. Supraphysiologic and infraphysiologic dosing of thyroid hormones can result in osteoporosis, arrhythmias, dyslipidemias and poor quality of life.

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Interpreting Thyroid Function Tests - Part 3

Thyroid disease may present with non-specific, minimal signs. The use of thyroid function tests (TFTs) is vital in guiding clinicians towards a diagnosis. This slide deck includes in-depth coverage of the use of thyroid function tests is vital in guiding clinicians towards a diagnosis.

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Managing and Diagnosing Hyperthyroidism - Part 2

Thyroid disease may present with non-specific, minimal signs. The use of thyroid function tests (TFTs) is vital in guiding clinicians towards a diagnosis. This slide library discusses how to manage and treat hyperthyroidism.

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SCIENTIFIC ARTICLES

AACE Position Statement on Off-Label Use and Misuse of Testosterone, Growth Hormone, Thyroid Hormone, and Adrenal Supplements: Risks and Costs of a Growing Problem

Off-label use and misuse of testosterone, GH, thyroid hormone, and adrenal supplements have become increasingly prevalent.

Endocrine Practice - the Journal for Clinical Endocrinology

Endocrine Practice, our official journal, keeps you on the leading edge of endocrine patient care.

AACE Clinical Case Reports

Access a wide range of case reports, visual vignettes and commentary from noted endocrinology experts.

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