#228 Thyroid on Fire! Hyperthyroidism with Dr. Eve Bloomgarden

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 3 August 2020

⏱️ 71 minutes

🔗️ Recording | iTunes | RSS

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Summary

Blazing hot tips to diagnose and treat hyperthyroidism with Dr Eve Bloomgarden, @evebmd (Northwestern). We cover a ton of ground including how to: interpret thyroid function tests, use your thumbs (or an ultrasound) to examine the thyroid, become an expert on Graves’ orbitopathy, prescribe methimazole and decide who needs surgery or radioactive iodine therapy. Plus, a bit on subclinical hyperthyroidism. This episode is on fire!

Credits

Written and Produced by: Tima Karginov and Matthew Watto MD, FACP
Infographic by: Tima Karginov
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Eve Bloomgarden MD

Sponsors: Pediatrics On Call podcast by the American Academy of Pediatrics

If you provide medical care to children, Pediatrics On Call — the new podcast from the American Academy of Pediatrics — will help you do it better. Each week, hear the latest news and research on children's health, on topics from obesity and mental health to keeping the kiddos safe when they’re stuck at home. Subscribe from your favorite podcast provider or find the latest episodes here.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Time Stamps

00:00 Intro
03:15 Guest one-liner, favorite failure, Picks of the Week*
08:50 Sponsor
10:37 Background, Definition of Hyperthyroidism, thyrotoxicosis; Basic labs
14:20 Case from Kashlak, Symptoms of Hyperthyroidism
25:00 Grave’s eye disease: exam, therapy and counseling
32:35 Thyroid exam and ultrasound
38:55 Thyroid Stimulating Immunoglobulin
41:00 Biotin
44:30 Thyroid Scintigraphy
49:00 Causes of Thyrotoxicosis
52:00 Treatment & Adherence to antithyroid medication (methimazole)
56:20 Beta Blockers in thyrotoxicosis
64:50 Subclinical Hyperthyroidism
67:00 Take Home Points, Outro

Transcript

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0:00.0	The Curb Siders podcast is for entertainment, education, and information purposes only.
0:06.8	And the topics discussed should not be used solely to die in a street cure or prevent any
0:09.4	diseases or conditions.
0:10.4	For the more that views and statements expressed on this podcast are solely those of those,
0:12.2	and should not be interpreted to reflect official policy or position of any entity
0:14.4	to die from possibly cash like Morhanswo and affiliate outreach programs.
0:16.6	If indeed there are any, in fact there are none.
0:18.5	Pretty much we aren't responsible if you screw up, you should always do your own homework
0:20.4	and let us know if we're wrong.
0:31.0	Paul, this was a good one.
0:33.0	We just finished a just, it was just a packed episode on Hyperthyroidism with Dr.
0:40.5	Eve Bloomgarten.
0:41.5	But Paul, before we get to that, tell the audience, you know, what do we do on the show?
0:47.5	And if you want to, what is the meaning, what is the meaning of life, Paul?
0:51.5	I ask you so many times and you never answered that question.
0:54.5	I'm pretty sure I've given you the same answer every time, which is surely for nerds to appreciate.
1:00.0	I think I give you the answer 42.
1:01.0	Yeah, I don't care that.
1:02.0	I need to read more.
1:03.0	Yeah, I mean, we're just Google, man, I mean the world's your oyster buddy.
1:07.0	But just to remind folks who may not know, we are the internal medicine podcast.
1:11.0	We use expert interviews to renew clinical girls and practice changing knowledge.
	...

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