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

The Curbsiders Internal Medicine Podcast

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!

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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