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ملخص للثايرويد. ⬆️
indication for thyroidectomy :
📍The five  𝘔s
 💡𝘔echanical - obstructive Sx
 💡𝘔alignancy
💡 𝘔arred beauty - cosmotic
💡 𝘔edical Rx failure - Graves
💡 𝘔ediastinal retrosternal extention
👀 complications of thyroidectomy :
 🅷eamorrhage
 🅷oarsness of voice (RLN)
 🅷ypethyrodism ( thyroid storm )
 🅷ypoparathyroidism
 🅷ypocalcemia
Malignant cancer of the thyroid gland is divided into:
🛑Differentiated::  papillary & follicular ➡️originated from thyroid follicular cell
🛑 Undiffereniated :::
Anaplastic ➡️from Follicular cell
Medullary ➡️ from c cell
Lymphoma ➡️ from lymphocytes within thyroid
🧾(Thyroid cancer keys )
🔹Papillary :
▫️Commenest  
▫️Children & young adult
▫️Spread to lymph node
▫️Multicentric
🔹Follicular
▫️Fifty = 50 yrs
▫️Blood spread
▫️FNA cannot distinguish
🔹Medullary
▫️90% sporadic
▫️10% MEN 2
▫️Diarrhea
▫️Cushing
🔹Anaplastic
▫️Elderly
▫️Radio
🔹Lymphoma :
▫️Radio
#Thyroid_storm; Causes and management

🏷Causes

🌪THIS Powerful storm

🔻Trauma
🔻Hyperthyroidism
🔻Infection/ Illness/ Iodine load
🔻Surgery
🔻Parturition

🏷Management

4🅿’s

🅿redinisone
🅿ropylthiouracil
🅿ropranolol
🅿otassium Iodide
🌀 Psammoma bodies causes:

   📔 Papillary Ca of thyroid
   📔 Papillary type of renal cell Ca
   📔 Prolactinoma (pituitary adenoma)
   📔 Serous cystadenoma of ovary
   📔 Meningioma
   📔 Appendical carcinoid (rarely)
2024/11/16 12:42:28
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