uss for nodule only. no nodule = no USS

TRADs score sus biopsy not sus no biopsy

cancer cut out, benign watch and wait

mgmt thyroid storm

cardio pulm support: fluids O2 cooling, Abs r digoxin if indicated

specific therapy: B blockers, anti thyroid drugs, dex

think strike risk with AF (CHADSVASC for stroke risk, anticoags)

storm could fizzle out on its own and normalise. if not → long term definitive treatment removal of thyroid

half life -7 days. anti thyroid drugs would take that long to work

MGMT myxoedma coma

rare, hardly seen nowdays. probs from non compliance with meds.

resus ICU for vent support

ionotropes if needed, warm the pt