THYROID NODULE-NON TOXIC GOITER

SUMMARY

These patients have a palpable thyroid + normal thyroid function.

1. Simple non-toxic goiter: due to iodine deficiency, goitrogen (brussle sprouts, cassava, cabbage, cauliflower). Tx: iodine supplementation, remove goitrogen.

2. Non-toxic MNG: US to target suspicious, dominant nodules. Surgery for compression/cosmetic symptoms, RAi otherwise.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].