Phys Clinical Cases · endocrine
Thyroid Nodules AND Thyroid Cancer — DCE Clinical Case
DCE long-case and short-case station for Thyroid Nodules AND Thyroid Cancer.
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Thyroid Nodules AND Thyroid Cancer — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Thyroid Nodules AND Thyroid Cancer. [1]
Presenting complaint: Subacute or acute symptoms referable to Thyroid Nodules AND Thyroid Cancer, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Thyroid Nodules AND Thyroid Cancer, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Blüher M, Bojunga J, Fassnacht M, Führer-Sakel D [New developments in endocrinology/diabetology] Inn Med (Heidelb), 2026.PMID 42455323
- [2]Zhang W, Qu N Case report: A case of adolescent invasive encapsulated follicular variant of papillary thyroid carcinoma with literature review Front Oncol, 2026.PMID 42453888
- [3]Bränström R, Hedberg F, Huisman M, Petersson M, et al. Ectopic ACTH Production in Medullary Thyroid Carcinoma-A Study of Two Cases Case Rep Endocrinol, 2026.PMID 42416264
- [4]Hegedüs L, Wirth LJ, Tuttle RM Management of Differentiated Thyroid Cancer N Engl J Med, 2026.PMID 42308485
- [5]Korevaar TIM, Leung AM, Alexander EK, Bliddal S, et al. American Thyroid Association 2026 Guidelines for Thyroid Disease in Preconception, Pregnancy, and Postpartum Thyroid, 2026.PMID 42219800
- [6]Coerts HI, Oude Ophuis CMC, Medici M, Dam W, et al. The standardized thyroid ultrasound report in a regional thyroid network in the Netherlands: a mixed-methods implementation analysis Eur J Radiol, 2026.PMID 42066602
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005