Endocrine abnormality hyper or hypo
Nodules in thyroid- benign or malignant
Infection or inflammation
for endocrine abnormality - blood test of thyroid function is enough
For knowing about nodules Ultrasound scan along with FNAC needed
for thyroiditis - both bood tests and scan improtant
Tiredness
Slow heart rate
Weight gain
Irregular periods
Increase sensitivity to cold
Dry skin
Puffy face
Anxiety
Fine tremor
Weight loss
Protruding eyes
palpitaion
irregular heart rate
feeling of nodule in neck
detected accidentally as it was seen out side
Change in voice is a bad sign
features of hypo of hyper thyroidism
.May have pain in neck
Thyroidectomy is done when there is high suspicion of cancer
or when its large enough to compress on air passage and food passage
in Hyperthyroidism - subtotal thyroidectomy removes need of medicines
total thyroidectomy- complete removal high suspicion of cancer
subtotal thyroidectomy- in Hyperthyroidism to reduce the hormone production
Hemithyroidectomy- removal of half of thyroid -nodule only in 1 lobe and is suspicious
Hemithyroidectomy can be done as daycare surgery
Endoscopic Thyroidectomy can be done via armpit or through mouth
large size and confirmed cancer are not good canadate
Robotic Thyroidectomy via intra oral appraoch and trans axillary are being done
Take it daily or regularly
take it in empty stomack min half hour before coffee or tea
If missed a dose take it on next day as twice the dose
if there is a dose change and you are keeping with dose change check TSH at 6 weeks and review
if you stopped medice by self or on advice check TSH after 6 weeks
All women in child bearing age need to have TSH between o.5 and 3mIU/L