Nódulos Tiroideos
Paciente femenina de 27 años de edad, vista y diagnosticada por nosotros hace dos años, abandonó rápidamente el tratamiento y en la actualidad viene a revisión porque siente insomnio severo, nerviosismo, hambre constante y a pesar de comer bastante ha perdido 40 libras ( 18,1 kg ) en los últimos 3 meses. Al examen físico muestra cierto grado moderado de exoftalmos y luce tensa, nerviosa. El examen sonográfico muestra la presencia de dos imágenes nodulares solidas, coalescentes, hipo-ecogenicas, de limites regulares, con intenso flujo vascular en sus periferias y en su interior, se localizan en lóbulo derecho, miden aprox 5,9 X 4,6 X 3,4 mm y 4,3 X 3,6 X 3,3 mm respectivamente. Dada las caracteristicas sonograficas de los nódulos y sobre todo el intenso flujo vascular de las lesiones, hacemos hincapié para que la paciente se ponga en contacto, con carácter de urgencia, con un endocrinólogo.
Female patient, 27 years of age, seen and diagnosed by us two years ago, quickly abandoned the treatment and now comes to revision because he feels severe insomnia, restlessness, constant hunger despite eating plenty has lost 40 pounds (18.1 kg) in the last three months. Physical examination shows a moderate degree of exophthalmos and looks tense, nervous. The sonographic examination shows the presence of two solid nodular, coalescing, hypo-echogenic, regular boundary, with the intense vascular flow at their peripheries and inside, is located in the right lobe, measure approx 5.9 X 4.6 X 3.4 mm and 4.3 X 3.6 X 3.3 mm respectively. Given the sonographic characteristics of nodules and especially the intense flow vascular lesions, we emphasize that the patient contact with nature emergency, with an endocrinologist.
Thyroid Nodules
Female patient, 27 years of age, seen and diagnosed by us two years ago, quickly abandoned the treatment and now comes to revision because he feels severe insomnia, restlessness, constant hunger despite eating plenty has lost 40 pounds (18.1 kg) in the last three months. Physical examination shows a moderate degree of exophthalmos and looks tense, nervous. The sonographic examination shows the presence of two solid nodular, coalescing, hypo-echogenic, regular boundary, with the intense vascular flow at their peripheries and inside, is located in the right lobe, measure approx 5.9 X 4.6 X 3.4 mm and 4.3 X 3.6 X 3.3 mm respectively. Given the sonographic characteristics of nodules and especially the intense flow vascular lesions, we emphasize that the patient contact with nature emergency, with an endocrinologist.
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| Flujo Doppler Aumentado |
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| Flujo Doppler Aumentado |
