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Thyroid anomalies from Surgical perspective
Thyroid anomalies encompass a wide range of conditions affecting the thyroid gland, necessitating various surgical interventions. Thyroidectomy, the surgical removal of the thyroid gland, is commonly performed for both benign and malignant thyroid nodules. In cases of large goiters causing compression of adjacent structures, subtotal or total thyroidectomy may be required. Papillary thyroid carcinoma is the most prevalent thyroid malignancy, often treated with surgical resection and subsequent radioactive iodine therapy. Follicular thyroid carcinoma may necessitate lobectomy or total thyroidectomy depending on tumor characteristics and risk factors. Medullary thyroid carcinoma often warrants total thyroidectomy due to its aggressive nature and potential for systemic involvement. Anaplastic thyroid carcinoma is a highly aggressive tumor, typically requiring radical surgical excision and adjuvant therapies.
About the Speaker
Dr. Rekha Arcot
Professor of Surgery Dean, Apollo Institute Of Medical Sciences and Research
Dr. Rekha was awarded by various organizations for her work in Mishaps during thyroidectomy, the GG Chatterjee fellowship award, ISSF Travel Scholar award by the Association of Surgeons. She was invited as a guest speaker for various workshops by prestigious organizations like SMRC, CMC, Vellore, and Amrita Institute of Medical Sciences.
Upcoming Case Discussions
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Management of Pulmonary Fibrosis
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Ulcerative colitis: Diagnosis & Management
Ulcerative colitis is diagnosed through a combination of clinical evaluation, laboratory tests, imaging studies, and endoscopic examination of the colon. Key diagnostic tests include stool studies to rule out infections, blood tests for inflammatory markers like C-reactive protein and fecal calprotectin, and colonoscopy with biopsy to visualize the colon and confirm the diagnosis. Imaging studies like CT scans or MRI may be used to assess disease severity and complications such as toxic megacolon or perforation. Management of ulcerative colitis involves a step-wise approach, starting with anti-inflammatory medications like aminosalicylates for mild to moderate disease.Immunosuppressants such as corticosteroids, thiopurines, or biologics (e.g., anti-TNF agents) are used for moderate to severe disease or if patients do not respond to first-line therapy. Regular monitoring of disease activity through symptom assessment, blood tests, and endoscopic evaluation is crucial for disease management and to prevent complications.
Fluid Management and Hemodynamic Optimization
Fluid management and hemodynamic optimization are crucial components of patient care in various clinical settings, particularly in critical care, perioperative care, and the management of sepsis and shock. The goal of fluid management is to achieve an optimal balance between fluid administration and removal, ensuring adequate tissue perfusion while minimizing complications associated with fluid overload or depletion. This involves assessing the patient's fluid status, monitoring hemodynamic parameters such as blood pressure, heart rate, cardiac output, and oxygen delivery, and tailoring fluid therapy accordingly. Strategies for hemodynamic optimization may include the use of fluid resuscitation, vasopressors, inotropes, and other interventions aimed at maintaining organ perfusion and function. However, it's essential to individualize treatment based on the patient's specific condition, comorbidities, and response to therapy, while also considering potential risks such as pulmonary edema, renal impairment, and tissue ischemia. Effective fluid management and hemodynamic optimization require a multidisciplinary approach, close monitoring, and ongoing reassessment to optimize patient outcomes while minimizing complications.
Micronutrient Deficiencies
Micronutrient deficiencies refer to insufficient intake or absorption of essential vitamins and minerals, including vitamin A, vitamin D, iron, iodine, and zinc, among others. These deficiencies can lead to a range of health problems, such as anemia, impaired immune function, poor bone health, and developmental delays. Micronutrient deficiencies are often prevalent in populations with limited access to diverse and nutritious foods, as well as in individuals with certain medical conditions or dietary restrictions. Addressing micronutrient deficiencies requires a multifaceted approach, including dietary diversification, food fortification, supplementation, and public health interventions aimed at improving access to nutritious foods and promoting healthy eating habits.
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Dr. Rekha Arcot 's Talks on Assimilate
- 19th-June-2023, TIME : 11:30PM - 12:30PM
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Thyroid anomalies encompass a wide range of conditions affecting the thyroid gland, necessitating various surgical interventions. Thyroidectomy, the surgical removal of the thyroid gland, is commonly performed for both benign and malignant thyroid nodules. In cases of large goiters causing compression of adjacent structures, subtotal or total thyroidectomy may be required. Papillary thyroid carcinoma is the most prevalent thyroid malignancy, often treated with surgical resection and subsequent radioactive iodine therapy. Follicular thyroid carcinoma may necessitate lobectomy or total thyroidectomy depending on tumor characteristics and risk factors. Medullary thyroid carcinoma often warrants total thyroidectomy due to its aggressive nature and potential for systemic involvement. Anaplastic thyroid carcinoma is a highly aggressive tumor, typically requiring radical surgical excision and adjuvant therapies.