Therapy of choice for diffuse toxic goiter in a patient over 55 years:
Management- For sympathetic stimulation, first drug given is Propranolol- Antithyroid drugs - symptomatic improvement within 2 weeks- Patient becomes euthyroid within 6 weeks- Antithyroid drugs* Methimazole* Carbimazole* Propylthiouracil Anti-thyroid DOC* In Graves' disease - Methimazole* In Pregnancy - Carbimazole* In Thyrotoxic crisis - Propylthiouracil- TOC - Total Thyroidectomy- Alternative treatment - Radioactive Iodine Ablation- Indications of RAI Ablation* Elderly Patients* Patient with surgical co-morbidities* Recurrence after surgery
Surgery
Antithyroid drugs
Radioiodine
Antithyroid drugs first followed by surgery
Thyroid