For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
You suspect your patient has a thyroid nodule, but how do you investigate?
+Print Archive
PRACTICE
You suspect your patient has a thyroid nodule, but how do you investigate?
Wednesday 4 July 2018, 01:00 AM

Posteriorly based right thyroid nodule. Note the profoundly hypoechoic, solid appearances and irregular margin highly suggestive of malignancy
EAR, NOSE & THROAT
Thyroid nodules are very common and the vast majority are benign but all still require investigation, with ultrasound a key tool
Key points, Ultrasound of the thyroid and surrounding lymph nodes is the preferred initial imaging modality for all patients with known or suspected thyroid nodul
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
Not a subscriber? Unlock this article by subscribing here.