By The Endocrine Society, Leonard Wartofsky
During this, the utterly new moment quantity of Diagnostic Dilemmas from The Endocrine Society, formerly released instances from the "Images in Endocrinology" sequence of the magazine of scientific Endocrinology & Metabolism, were up-to-date and reformatted to problem and try the reader's wisdom and talent to arrive a prognosis, in a few circumstances of infrequent problems or of bizarre shows of universal endocrine issues.
Each bankruptcy is written to face by myself, and the chapters will be learn at any time and in any series. This publication won't ever exit of date - it is possible for you to again to the situations or "diagnostic dilemmas" repeatedly to re-test your diagnostic technique and the teachings learned.
The sufferer displays were revised and up-to-date by means of the unique authors, and replicate infrequent problems, strange shows of universal problems, and engaging photographs. (Earn as much as 20.0 AMA PRA classification 1 credit)
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Additional resources for Diagnostic Dilemmas: Images In Endocrinology Volume 2
Sample text
USPSTF recommendation level: C; evidence, fair (2|⊕⊕○○). 2c. All women receiving levothyroxine should be verbally screened prenatally to assess their understanding of changing levothyroxine requirements after conception. indd 50 5/21/13 2:13 PM a missed menstrual cycle or suspicion of pregnancy to check their serum TSH level. An additional recommendation may be to increase their levothyroxine dose by 30%, which is often two additional tablets per week (nine tablets per week instead of seven tablets), until their serum TSH can be checked.
The morphological details described above were consistent with solid cell nests (SCNs) in a background of Hashimoto thyroiditis. In fact, SCNs (ultimobranchial body remnants) represent a major pitfall in the differential diagnosis of papillary thyroid carcinoma, especially in the background of thyroiditis (2). 2. THE MOST FREQUENT DIFFERENTIAL DIAGNOSIS OF SOLID CELL NESTS IS: FIG. 10-2. At higher magnification, within a background of Hashimoto thyroiditis, solid-cystic aggregates (A) and floret-like formations (B) can be noted (magnification x20).
However, both clinically and pathologically, it can be difficult to distinguish benign thyroid tissue from highly differentiated thyroid cancer. Histopathological features of thyroid carcinoma can be extremely focal and subtle and can escape detection by an unaware pathologist. Follicular thyroid carcinoma is known for its propensity for vascular invasion and subsequent distant metastases (6), most commonly in bones and the lungs. Abdominal spread of follicular thyroid carcinoma is uncommon as there have been only a few cases documenting ovarian spread of primary differentiated thyroid carcinoma (7, 8).
