Abstract
A 67-year-old man was electively admitted to the hospital after needle aspiration of a nodule in his neck indicated the presence of follicular neoplasm. During routine physical examination two weeks earlier, a 2 cm nodule was palpated in the area of his thyroid gland. He had no history of palpitations, sweating, fatigue, dizziness, or recent weight loss.
His past medical history was notable for adult-onset diabetes mellitus, controlled by oral hypoglycemic agents. He had a longstanding history of hypertension, treated with metoprolol. He had smoked heavily for years and had occasional mild asthma.
Physical examination revealed a healthy-appearing man in no acute distress. Blood pressure was 140/90 mmHg, pulse 66/min and regular. Electrocardiogram (ECG) showed left anterior hemiblock. All other laboratory values were within normal limits, except for blood glucose of 281 mg/dl. Routine thyroid function tests indicated a euthyroid state.
The patient was scheduled for partial thyroidectomy.
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References
Werner SC: Historical resume, in Ingbar SH, Braverman LE (eds): Werner’s the Thyroid: A Fundamental and Clinical Text, Philadelphia, JB Lippincott Co. 1986; pp 3–6.
Turnbridge WMG, Evered DC, Hall R, et al: The spectrum of thyroid disease in a community: The Whickham Survey. Clin Endocrinol 1977;7:481–93.
Dos Remedios LV, Weber PM, Feldman R, et al: Detecting unsuspected thyroid dysfunction by the free thyroxine index. Arch Intern Med 1980; 140:1045–49.
Silverberg E: Cancer statistics 1982. CA 1982;32:15–31.
Clark OH: Endocrine Surgery of the Thyroid and Parathyroid Glands. St. Louis, CV Mosby Co., 1985.
Hellman DE: The thyroid gland, in Brown BR (ed): Anesthesia and the Patient with Endocrine Disease. Philadelphia, FA Davis Co, 1980; pp 109–46.
Murkin JM: Anesthesia and hypothyroidism: A review of thyroxine physiology, pharmacology and anesthetic implications. Anesth Analg 1982;61: 371–83.
Kim JM, Hackman L: Anesthesia for untreated hypothyroidism: Report of three cases. Anesth Analg 1977;56:299–302.
Senior RM, Birge SJ, Wessler S, et al: The recognition and management of myxedema coma. JAMA 1971;217:61–5.
Leonard JJ, Degroot WJ: The thyroid state and cardiovascular system. Mod Concepts Cardiovasc Dis 1969;38:23–7.
Stehling LC: Anesthetic management of the patient with hyperthyroidism. Anesthesiology 1974;41:585–95.
Shires GT: Questions and answers on anesthesia for thyroid surgery. Clin Anesth 1963;1(3):206.
Roizen MF: Endocrine abnormalities and anesthesia: Implications for the anesthesiologist. ASA Refresher Courses in Anesthesiology, 1984; 12(14): 161–77.
Benson DW: Anesthesia for thyroid surgery. Seminars in Anesthesia 1984; 111:168–73.
Stehling LC: Anesthetic implications of hyperthyroidism, in Brown BR (ed): Anesthesia and the Patient with Endocrine Disease, Philadelphia, FA Davis Co, 1980; pp 147–58.
Nance P, Wingard DW: Malignant hyperthermia. Anesth Analg 1981;60: 613–15.
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© 1989 Birkhäuser Boston Inc.
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Bonner, S. (1989). The Patient for Thyroidectomy. In: Frost, E.A.M. (eds) Preanesthetic Assessment 2. Birkhäuser Boston. https://doi.org/10.1007/978-1-4684-6765-9_19
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DOI: https://doi.org/10.1007/978-1-4684-6765-9_19
Publisher Name: Birkhäuser Boston
Print ISBN: 978-0-8176-3430-8
Online ISBN: 978-1-4684-6765-9
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