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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.
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  • 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.
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Diagnostic Failure: A Cognitive and Affective Approach - 0 views

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    Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinical performance. It is vulnerable to a variety of failings, the most prevalent arising through cognitive and affective influences. The impact of diagnostic failure on patient safety does not appear to have been fully recognized. Ideally, all information used in diagnostic reasoning is objective and all thinking is logical and valid, but these conditions are not always met.
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100 DIAGNOSTIC CHALLENGES IN CLINICAL MEDICINE - 0 views

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    100 Diagnostic Challenges in Clinical Medicine is composed of one hundred well-illustrated clinical scenarios and their appropriate investigations. A wide variety of specialties are covered including cardiology, neurology, dermatology, endocrinology, tropical medicine, haematology, metabolic medicine, radiology, ophthalmology, venereology, and infectious diseases. Presenting the relevant investigations corresponding to each case in an interesting and easy-to-read Q&A format concerning diagnosis and management
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100 Helpful Web Tools for Every Kind of Learner - 8 views

  • Here are some great tools that you can use to <a href=">cater to your individual learning style, no matter what that is
  • Mind Mapping Get your ideas charted out in a visual format with these easy-to-use online brainstorming and organizational tools
  • Charting and Diagrams Love to put information into charts and diagrams? These tools can help you do that.
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  • Videos and Photos Find everything you’ll need to learn through videos and pictures with these tools.
  • Videos
  • Videos
  • Auditory learners do best in classes where listening is a main concern. These learners prefer verbal lectures and discussions. Auditory learners can get a leg up on their learning with these Web tools. Podcasts Get all kind of supplementary education materials through these great podcast tools.
  • Presentation Tools
  • Audio Tools Listen and edit your sounds and music with these tools
  • Text Readers Understand material better when it’s read out loud? These Web tools can do that for you.
  • Audio Books Those who have trouble retaining information from printed words can listen to their assigned reading instead with help from these sites.
  • Note Taking Tools No matter what you’re reading or watching you can make it more interactive by taking notes and these tools can help.
  • Bookmarking Mark references for later while you’re researching with these tools.
  • Interaction Get involved with the material with these online applications.
  • Collaboration These chatting and networking tools can make it easy to interact with classmates and friends.
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    Learning Styles based list of tools
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Palliative Medicine Handbook - 1 views

shared by anonymous on 08 Mar 11 - Cached
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    online
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Medical Education in Cases by Teresa M. Chan, Brent Thoma & Michelle Lin - 2 views

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    "We post challenging hypothetical dilemmas, moderate discussions on potential approaches, and recruit medical education experts to provide their insights. "
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