Thyroid Resource Center | AACE Disease State Resources

CLINICAL QUIZ: Thyroid Case Questions

A 66 year-old woman had a thyroid nodule incidentally discovered during magnetic resonance imaging (MRI) of the neck to evaluate neck pain. A thyroid ultrasound revealed a solitary 1.1 cm hypoechoic, solid, well-circumscribed nodule with Grade 4 vascularity on Doppler flow and no calcifications. No abnormal lymph nodes were observed. Her thyroid-stimulating hormone (TSH) level was 1.9 mIU/L (normal, 0.5-5.7 mIU/L). Fine needle aspiratory biopsy was performed, and cytology was positive for papillary thyroid carcinoma.

Thyroid Case 1

A 28 year-old Caucasian female with a history of Graves' disease status post robotic thyroidectomy two years prior presents at 24 weeks gestation for management of hypothyroidism. She is taking levothyroxine 125 mg daily since her surgery, and her hypothyroidism is well controlled. She complains of mild fatigue, but otherwise feels well. Her past medical history is otherwise significant only for seasonal allergies. She does not have a family history of autoimmune thyroid disease. She works in the fire department as a clerk.

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CLINICAL PRACTICE GUIDELINES

Thyrotoxicosis has multiple etiologies, manifestations, and potential therapies. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions and patient preference.

Hypothyroidism has multiple etiologies and manifestations. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions.

AACE/ACE/AME Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules – 2016 Update

This document was prepared as a collaborative effort between the American Association of Clinical Endocrinologists (AACE), American College of Endocrinology (ACE) and Associazione Medici Endocrinologi (AME).

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SLIDE LIBRARY

Interpreting Thyroid Function Tests - Part 3

Thyroid disease may present with non-specific, minimal signs. The use of thyroid function tests (TFTs) is vital in guiding clinicians towards a diagnosis. This slide deck includes in-depth coverage of the use of thyroid function tests is vital in guiding clinicians towards a diagnosis.

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Managing and Diagnosing Hyperthyroidism - Part 2

Thyroid disease may present with non-specific, minimal signs. The use of thyroid function tests (TFTs) is vital in guiding clinicians towards a diagnosis. This slide library discusses how to manage and treat hyperthyroidism.

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Managing and Diagnosing Hypothyroidism - Part 1

Thyroid disease may present with non-specific, minimal signs. The use of thyroid function tests (TFTs) is vital in guiding clinicians towards a diagnosis. Hypothyroidism is traditionally defined as deficient thyroidal production of the thyroid hormone.

Download slides (PDF)

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IN-DEPTH INFORMATION

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AACE Podcasts

For more in-depth information on all of our disease state resources, listen to AACE Podcasts now. Our podcasts cover a wide range of endocrine science as well as discussion regarding our clinical guidelines.

EDUCATIONAL OPPORTUNITIES

OnDemand - AACE Innovation in Cardiometabolic Clinical Practice

This free collection of recordings from the 2020 AACE Innovations in Cardiometabolic Clinical Practice live event is available to you for CME and ABIM MOC credit.

AACE Master Class: Ultrasound Evaluation of Diffuse Thyroid Disease and Thyroiditis

In this course from the Thyroid Track of the AACE Master Class Series, learners will identify common ultrasound features of autoimmune thyroid disease, distinguish a pseudonodule from a true discrete nodule, and more.

AACE Master Class: Preop Cancer Frontiers I: FNA Mutational Data and Extent of Surgery Decisions

In this course from the PGAN Track of the AACE Master Class Series, learners will be able to identify genetic mutations associated with thyroid cancer, review which genetic mutations are associated with more aggressive thyroid cancer, and more.

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SCIENTIFIC ARTICLES

AACE Position Statement on Off-Label Use and Misuse of Testosterone, Growth Hormone, Thyroid Hormone, and Adrenal Supplements: Risks and Costs of a Growing Problem

Off-label use and misuse of testosterone, GH, thyroid hormone, and adrenal supplements have become increasingly prevalent.

Endocrine Practice - the Journal for Clinical Endocrinologists

Endocrine Practice, our official journal, keeps you on the leading edge of endocrine patient care.

AACE Clinical Case Reports

Access a wide range of case reports, visual vignettes and commentary from noted endocrinology experts.

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RECENT NEWS AND UPDATES

September 8, 2020

Thyroid Eye Disease Resource Center

Read more about thyroid eye disease, including recent research and case studies from Endocrine Practice and AACE Clinical Case Reports.

April 15, 2020

AACE Position Statement: Coronavirus (COVID-19) and People with Thyroid Disease

There is currently no reason to believe that most people with thyroid disease are at increased risk to contract this novel coronavirus or to experience complications. Nevertheless, if thyroid medications are not taken as prescribed, uncontrolled thyroid disease may increase a person’s risk for viral infection and complications.

August 18, 2020 (Latest Update)

COVID-19 Resources: Telehealth, Updates and More

AACE is closely monitoring developments regarding COVID-19 and working with partner medical societies to provide information and resources to our members. Click to view COVID-19 resources, including more about navigating telehealth services.

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POSITION AND CONSENSUS STATEMENTS

AACE Position Statement on Off-Label Use and Misuse of Testosterone, Growth Hormone, Thyroid Hormone, and Adrenal Supplements: Risks and Costs of a Growing Problem

Off-label use and misuse of testosterone, GH, thyroid hormone, and adrenal supplements have become increasingly prevalent.

Since its inception, the American Association of Clinical Endocrinologists (AACE) has advocated for the finest in endocrine education and state-of-the-art health-care delivery without regard to race, ethnicity, gender, age, country of origin, economic status, lifestyle, sexual orientation or domestic living arrangements.

Transculturalization Recommendations for Developing Latin American Clinical Practice Algorithms in Endocrinology

Evidence-based medicine has generated many philosophical and pragmatic challenges to clinical care. Chief among these challenges is how to deliver culturally appropriate individualized endocrine care while adhering to evidence-based guidelines and algorithms developed for large heterogeneous populations.

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AACE would like to thank the following company for grants supporting the Thyroid Resource Center:

Thyroid Disease Resource Center

Thyroid Disease Resource Center

Interpreting Thyroid Function Tests - Part 3

Managing and Diagnosing Hyperthyroidism - Part 2

Managing and Diagnosing Hypothyroidism - Part 1

AACE Podcasts

OnDemand - AACE Innovation in Cardiometabolic Clinical Practice

AACE Master Class: Ultrasound Evaluation of Diffuse Thyroid Disease and Thyroiditis

AACE Master Class: Preop Cancer Frontiers I: FNA Mutational Data and Extent of Surgery Decisions

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