Is not TPO antibody positivity associated with fatigue and various symptoms? even if the thyroid function is still normal?

can you please add menti code in the chat box

menticode please

Ment code 615521

thank you

would you accept a higher TSH in elderly of around 15

Sorry 2nd question:Hi Karim, could you kindly speak again as to the effect of selenium on TPO? if it decreases the level of antibodies, should we be advising people to take selenium in diet? ? brazil nuts?

the problem is not endocrinologist doing TPO antibodies but obstetricians and then referring to you as endocrinologist

615521 menti

1

TSH Rec Ab status ?

1

TSH receptors Ab could be blocking?

4

How convinced are we that this resistant thyrotoxicosis 4 years down the line is associated with previous immunopathy?

is there anyway of predicting which classes of check point inhibitors cause transient thyroiditis vs overt hyperthyroidism?

What other occasions would you do thyroid ultrasound except a palpable nodule or suspicion of MNG?

repeat FNAC

repeat FNAC

How do you propose to monitor this patient after lobectomy?

Few words about uptake scan please

Sometimes explaining an upto 3% risk of malignancy in U2 becomes a challenging conversation as often they demand at least a followup USS

pregnancy check

Repeat test and test for pregnancy.

repeat tfts

ask for biotin

check other lab

Can you also use the alpha subunit test? raised in TSHoma

sorry for being pedantic but not sure if TSH hypersecretion can be called inappropriate in the context of resistance. This is probably a compensatory secretion due to defective feedback. TSH-oma would be inappropriate TSH secretion entity.

Up to 30% TSH-omas also co-secrete prolactin

Should this patient have lifelong followup? (for example with yearly TSH)

excellent presenatation

excellent presentation

great

Would earlier timing of brain MRI have been better for the patient

Perhaps we can discharge them back to GP with clear criteria when to refer back if needed since we have so little data on recurrence or devise strategy. Very informative presentation. Thank you.

thyroid receptor resisitance

do you know what happened to the sister?

ptu

and antibodies check up

continue ptu and increase dose

very nice

How often do you need to monitor baby’s thyroid function when BF on PTU/CBZ?

if she had preg plan after 1 year, wud you prefer Radioiodine and optimise TFT and then preg after atleast 6 months.

uptake scan

How much of her derangement could be secondary to the contrast used for her imaging?

TYPE 1 AIT

type 2

Graves vs Type 1 AIT

Is there any reasin carbimazole is given in divided doses?

could it be mixed T1 &T2

Great

I would expect the destructive thyroidits and hence the requirement of Pred should have come down by now

Thank you

Can recording of this presentation would be available ?#

Thank you for all your contribution and for Karim

The recordings will be available later

C

C

C

e

C

C

c

d

c

C

score is 2.5

c

is it actual T score or we can consider specific percentage improvement as well

Thankyou all, excellent talks...

thank you very much

Thank you

great job

Thank you for the great presentations

Thank you very much for a great session.

Thanks a lot.

plz show plz show QR code