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Symptoms There are usually no symptoms. Signs and tests A solitary pulmonary nodule is usually found on a chest x-ray. If x-rays repeated over time show the nodule size has remain unchanged for 2 years, it is generally considered benign. A chest CT scan is often done to look at a solitary pulmonary nodule in more detail. Other tests used to examine a solitary pulmonary nodule may include: PET scan Percutaneous needle biopsy Single-photon emission CT (SPECT) scan Skin tests to rule out infectious causes Lung biopsy
Alternative Names Thyroid tumor; Thyroid adenoma; Thyroid carcinoma; Thyroid incidentaloma Treatment Your health care provider may recommend surgery to remove all or part of your thyroid gland if the nodule is: Cancerous Believed to be making your thyroid overactive (hyperthyroid) Cannot be diagnosed as cancer or noncancer Cause symptoms such as swallowing or breathing problems Patients with overactive nodules may be treated with radioactive iodine, which reduces the size and activity of the nodule. However, in rare cases the treatment can cause hypothyroidism and inflammation of the thyroid gland (radiation-induced thyroiditis). Pregnant women should not be given this treatment. Women being treated with radioactive iodine should not get pregnant. Levothyroxine (thyroid hormone) is a drug that suppresses the production of the thyroid hormone T4. A doctor may prescribe levothyroxine to treat noncancerous nodules only in special cases. Careful follow-up is the only recommended treatment for benig...
Q: How do most patients get referred to a rheumatologist in the first place? Kremer: Usually, it’s the pain that’s perceived to be arthritis pain. Sometimes it’s muscle pain. Other times it can just be a nagging pain from anywhere that the primary care provider cannot diagnose. It’s more helpful to be referred to a rheumatologist when there are other symptoms along with the pain, such as early joint swelling. Q: What does the rheumatologist do when they see a referred patient? Kremer: We’ll take a history. Do you have morning stiffness? Fatigue? How long has this been going on? Do you have any family history of these same symptoms? After history, you do a physical exam looking for impaired joint movement, which joints are swollen, warm to the touch, difficult to move. Q: When do you take lab tests? And which tests do you start with first? Kremer: It depends on where the initial history and exams lead you. You many test for Rheumatoid factor (...
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