January 9, 2025 Type 1 Webinar on non-nodular thyroid diseases

Case 1441


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Clinical data

First examination (first part of the video, signed with 1441-1):

Clinical data: A 26-year-old woman at the 8th gestational week was referred for evaluation. She has been treated for hypothyroidism for 5 years.

Palpation: Both lobes were firm on palpation. No nodule could be palpated.

Laboratory tests: TSH 6.24 mIU/L, FT4 10.1 pM/L on daily 50 microgram levothyroxine.

Second examination a year later (second part of the viDeo, signed with 1441-2):

Clinical data: Half a year ago, the patient gave birth. She took 100 microgram of medicine a day in the second half of the pregnancy, and after giving birth she returned to the previously used dose of 50 micrograms a day. She gained 8 kg in the last three months and had other symptoms which suggested underdosing.

Palpation: unchanged.

Topics

  • Interpretation of discrete lesions in Hashimoto's thyroiditis.

  • The influence of pregnancy and the post partum period on the ultrasound pattern.

 

 

 

 

 

 

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