Thyroid Disease

Although thyroid disease is common in the population and accounts for 3-5% of primary care visits, many primary care physicians find it confusing because of its nonspecific symptomology. In Thyroid Disease: A Case-Based and Practical Guide for Primary Care, Emanuel Brams, MD, draws on his extensive clinical experience in endocrinology to present a concise and practical approach to identifying and treating patients with thyroid disease. Using patient histories, physical examinations, and test results of representative cases derived from his busy practice, Dr. Brams poses and answers a series of questions similar to those that any good clinician asks. What are the test results? What would you do next? What is your diagnosis? How would you treat this patient? What can we learn from this case? The resulting dialog is informative and illuminating and allows the reader to take part in both diagnostic and treatment decisions. The cases cover the common thyroid disorders, ranging from Graves' disease to thyroid cancer. Additional chapters discuss patients whose diagnostic and therapeutic challenges were learning experiences, the author's personal views on the treatment of Graves' disease, and the extremely difficult problem of managing iatrogenic hyperthyroidism.
Up-to-date and clinically informative, Thyroid Disease: A Case-Based and Practical Guide for Primary Care offers primary care clinicians, pediatricians, and gynecologists an optimal approach to diagnosis, treatment, and follow-up of thyroid disease, emphasizing the practical and common issues that physicians see in their offices every day.

Zusammenfassung
Thyroid Disease: A Case-Based and Practical Guide for Primary Care, by Dr. Emanuel Brams, is a supremely readable cased-based approach to understanding the myriad of disorders that encompass thyroid disease. Using cases derived from his busy practice, Dr. Brams gives us the history and physical examination details of each case, along with test results. Then, through a series of questions similar to that which any good clinician asks while caring for a patient, Dr. Brams explains an optimal approach to diagnosis, treatment, and follow-up of thyroid disease, with an emphasis on the practical and common issues that primary care physicians see in their offices. This is an important book for primary care physicians because thyroid disease is common in the population we take care of and accounts for 35% of primary care visits. It is often cited as an area that primary care phy- cians find confusing. Dr. Brams clarifies thyroid disease and, through his generous sharing of cases, allows us to join him in making clear diagnoses as well as share in the ambiguity and decisions about approach when the diagnoses and course of treatment are not clear. In this way, the book is honest, and deals directly with the issues of thyroid disease as they are seen by us as physicians, not as we sometimes may wish they were seen if patients presented with the clarity of walking textbooks. Dr.

Inhalt
Physiology, Testing, and Common Thyroid Disorders.- Thyroid Testing and Imaging.- Graves' Disease.- Other Causes of Hyperthyroidism.- Thyroid Ophthalmopathy.- Hypothyroidism.- Subclinical Thyroid Disease.- Hashimoto's Thyroiditis.- Thyroid Disease in Pregnancy and Postpartum.- Thyroid Disease in Children and Adolescents.- Thyroid Nodules and Cancer.- Management of Thyroid Cancer Patients.- Challenging Thyroid Disorders and Current Controversies.- Challenging Cases of Hyperthyroidism.- Treatment of Graves' Disease.- Iatrogenic Hyperthyroidism.