By R. Dayananda Babu
The second one version of scientific surgical procedure Pearls is a question and resolution booklet for postgraduate and undergraduate scholars. each one bankruptcy specializes in a standard case, starting with an outline, by way of a list for background and actual exam, and diagnostic issues for that case. a couple of questions with solutions reviewing the anatomy, body structure, research, differential analysis and up to date staging and evidence-based administration for that case, are then offered. The e-book is highlighted via various circulate charts, tables, images and illustrations. A separate bankruptcy presents definitions for numerous medical terminologies. Key issues * new version, query and solution ebook for college kids * offers 50 scientific circumstances with questions and solutions * effortless to learn, comprehensible structure * contains quite a few circulation charts, tables, pictures and illustrations * Separate bankruptcy devoted to definitions of medical terminologies * past variation released in 2010
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To identify recurrence and metastases in thyroid carcinoma. Q 27. What is the isotope of choice for diagnostic scanning of the thyroid? • 99mTc is the isotope of choice for diagnostic purposes. It is cheap and the radiation is less than radioiodine. Twenty minutes after intravenous injection of 99mTc, scanning is done over the thyroid. • If radioactive iodine is used 123I is the isotope of choice for diagnostic purposes. Q 28. What is the half-life of the various radio isotopes used in thyroid?
Q 82. What are the preoperative preparations for thyroid surgery? 36 • Thyroidectomy is done only after making the patient euthyroid • Lugol’s iodine is given for a period of 10 days for reducing the vascularity and making the gland firm (for toxic cases only) • Always send the patient for preoperative indirect laryngoscopy (or video laryngoscopy) to rule out occult vocal cord palsy and document for medi colegal purposes • Arrange cross matched blood for vascular thyroids • Assessment of the cardiac status by ECG • Assessment of the chest by an X-ray chest and X-ray neck AP view (for detecting tracheal displacement) and lateral view (for detecting luminal narrowing).
Substernal goiter m. Amiodarone induced thyrotoxicosis. Q 72. What are the drugs used for preparation of a patient for “urgent thyroidectomy”? (PG) Combination of oral iopanoic acid 500 mg bid and dexamethasone 1 mg bid and PTU or MMI and beta blockers for 5 to 7 days. Q 73. What are the advantages of surgery? (PG) Advantages of surgery a. Surgery is effective in achieving euthyroid status in 95–97% of patients b. Controls hyperthyroidism immediately c. Hazards associated with radioiodine therapy are avoided d.