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ROJoson PEP Talk: GOITER AWARENESS
ROJoson PEP Talk: GOITER AWARENESS
1400H - 1500H
Via Zoom
Empowerment
objective - for
GOITER laypeople to have a
AWARENESS basic understanding
of THYROID GOITER
in their health
management.
ROJoson PEP Talk
Empowerment
objective - for I have a Patient
Empowerment
GOITER laypeople to have a
Program in which I
AWARENESS basic understanding like to empower the
of THYROID GOITER lay people or
in their health patients to take
management. control in the
management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses in
the PEP Talk.
I completed the Core
Course on October 9,
2021.
From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.
My PEP TALK today is
entitled:
GOITER
Empowerment AWARENESS
objective - for
GOITER laypeople to have a
AWARENESS basic understanding This is my
of THYROID GOITER contribution to
in their health the PH DOH
management. Goiter Awareness
Week (4th week of
January).
Contents
GOITER • What is a goiter?
• What are the different types of goiter?
AWARENESS • What are the causes of goiter?
• How to recognize goiter and its different
types?
• What paraclinical diagnostic tests are usually
done for goiter?
• What are the usual treatment for the different
types of goiter?
• What are the post-treatment management for
goiter?
What is a goiter?
GOITER
AWARENESS
What is a goiter?
GOITER Loosely speaking, goiter refers to
AWARENESS something wrong with the thyroid gland, a
butterfly-shaped organ located in the base
and central part of the neck.
HYPOTHYROIDISM
How to recognize goiter and its different
types?
GOITER
AWARENESS • Palpitation
• Sudden weight loss
HYPERTHYROIDISM
How to recognize goiter and its different
types?
GOITER
AWARENESS • Lump/s on the front, base and central
part of the neck which moves up and
down with swallowing
• Lump/s on the side of the neck
Indication:
When needed to evaluate the structure
(ultrasound, CT Scan, MRI) and at times, function
of the thyroid gland (thyroid scan and PET Scan)
Indication:
Ultrasound, CT scan, MRI can be used to evaluate
the structure - size of the thyroid gland and
whether a nodule present is benign or malignant.
Indication:
Thyroid scan using a radioactive isotope is used
primarily to determine whether there is nodule
that is hyperfunctioning or not.
Indications:
• When needed to determine whether a nodule
is solid or cystic (if cystic, needle aspiration
may be therapeutic in outcome)
• When needed to get a sample of solid nodule
for biopsy (whether benign or malignant - at
times the specific disease can be revealed)
What are the usual treatment for the
different types of goiter?
GOITER
AWARENESS
What are the usual treatment for the
different types of goiter?
GOITER
AWARENESS
• Watchful waiting
• Medications
• Operations
• RAI therapy
• Chemotherapy
Treatment for Non-Cancer Goiters Goals of treatment
NO GUARANTEE FOR
CURE!
May need lifetime
maintenance meds!
Treatment for HYPERTHYROIDISM Goals of treatment
GOITER 3 options for goiters that are small to moderate in Curative vs control
AWARENESS size:
• Some don’t recur
• Medical therapy with anti-thyroid drugs
after treatment!
• Operative therapy • Some recur!
• Radioactive iodine therapy
Only time will tell!