By Shane Morita, Alan Dackiw, Martha Zeiger
A step by step advisor to the analysis and administration of the endocrine surgical procedure patient
A Doody's middle name for 2011!
"This is a wanted reference that are meant to join any surgical resident's library. three Stars."--Doody's overview Service
"The authors have essentially succeeded in synthesizing a truly sensible and reader-friendly guide of 21st-century endocrine surgical procedure. it will be a useful source for clinical scholars, surgical citizens, fellows, and consulting surgeons alike."--Geoffrey B. Thompson, MD, university of medication, Mayo sanatorium (from the foreword)
McGraw-Hill handbook Endocrine surgical procedure can provide the knowledge you would like for the full-range of endocrine surgical procedure, provided in at-a-glance bulleted lists and tables. Concise, well-illustrated chapters offer high-yield summaries of epidemiology, chance components, genetics, scientific presentation, diagnostic overview, administration, surveillance and follow-up. You'll additionally locate a number of useful pearls that provide worthwhile insights from skilled surgeons.
This certain, point-of-care booklet features:
Succinct, but finished assurance of the illnesses and stipulations that impact the thyroid, parathyroid, pancreas, and adrenal glands
High-yield info at the administration of particular endocrine conditions
Management algorithms inside of every one bankruptcy to hurry the decision-making process
A two-color layout with tabbed pages to facilitate on-the-spot look-up
Content worthwhile to surgeons, surgical citizens, fellows, and school
Read Online or Download McGraw-Hill Manual Endocrine Surgery PDF
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Additional resources for McGraw-Hill Manual Endocrine Surgery
Example text
A high rate of recurrence has been reported after subtotal thyroidectomy for MNG (10% to 30%). 9 months. 4%. Predictive factors for recurrence were female gender, the presence of multiple nodules in the resected thyroid, and a lack of postoperative LT4 therapy. The authors suggested that these factors should be considered to determine an individualized surgical strategy. For patients with history of radiation exposure or a family history of thyroid cancer, total thyroidectomy should be considered independent of the extent of goiter.
All three modalities have roles according to the clinical situation and patient preference, differing in the risks of the therapy themselves as well as the risks of recurrence of clinical hyperthyroidism. Pharmacologic Therapy Antithyroid drugs are frequently used as initial therapy in patients diagnosed with Graves’ disease. The most common antithyroid drugs are thionamides, which include methimizole and propylthiouracil. They work primarily by inhibiting the oxidation and organic binding of thyroid iodide.
These scans have a particular role when considering a limited operation in the presence of hyperthyroidism. In a patient with a MNG and concomitant Graves’ disease, the scan shows globally enhanced uptake. In most patients with MNG, the scan demonstrates a heterogeneous uptake pattern that includes cold and hot areas, which is typical for multinodular thyroid disease. Radionuclide imaging may also be used when treatment with iodine 131 (131I) is being considered. Chest radiography (posteroanterior and lateral views) should be obtained to evaluate the position of the trachea (Figure 2-2).