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Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of S... - 0 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
  • ...9 more annotations...
  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
anonymous

Oral Case Presentation Evaluation - 0 views

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    from SIU School of Medicine
Natalie Lafferty

LAPT - 0 views

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    UCL's homepage on certainty based questions - follow the link to the exercise menu which includes a series of question sets relating to medicine.
avivajazz  jazzaviva

JAMA | Defining and Assessing Professional Competence | Epstein and Hundert 287 (2): 22... - 0 views

anonymous

RubiStar Home - 0 views

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    Rubric Creator
anonymous

OSCE clinical examination resources | Scoop.it - 4 views

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    "Central Manchester University Hospitals NHS Foundation Trust"
anonymous

classroom observation form - 0 views

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    From Ohio edu
anonymous

Comment Bubble - React to Video (Desktop v1.0) - 1 views

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    A tool for commenting on student produced video
anonymous

An electronic portfolio for quantitative assessment of surgical skills in undergraduate... - 0 views

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    Medical students reported that use of an electronic portfolio that provided quantitative feedback on their progress was useful when the number and complexity of targets were appropriate, but not when the portfolio offered only formative evaluations based on reflection. Students felt that use of the e-Portfolio guided their learning process by indicating knowledge gaps to themselves and teachers.
anonymous

Failure to fail: the perspectives of clinical super... [Acad Med. 2005] - PubMed - NCBI - 0 views

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    "The study provides insight as to why supervisors fail to fail the poorly performing student and resident. It also offers suggestions of how to support supervisors, increasing the likelihood that they will provide a valid ITER "
anonymous

Portfolios (Authentic Assessment Toolbox) - 2 views

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    Direct instruction on how to create portfolios
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