Endocrinology Book

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Radioactive Iodine Uptake Scan

Aka: Radioactive Iodine Uptake Scan, Radioiodine Uptake, Thyroid Iodine Uptake, RAIU
  1. Indications
    1. Hyperthyroidism
  2. Diffusely Low radioidoine uptake with hyperthyrodism
    1. Medications and other intakes
      1. Exogenous Thyroid intake
      2. Excessive exogenous iodine
      3. Amiodarone
    2. Transient Thyroiditis
      1. Subacute Thyroiditis
      2. Postpartum Thyroiditis (5-8% Incidence)
      3. Painless lymphocytic Thyroiditis
  3. Focal low RAIU (cold Nodule) with Hypothyroidism
    1. Requires biopsy for Thyroid Cancer evaluation
  4. High Radioiodine Uptake with Hyperthyroidism
    1. Diffusely increased uptake
      1. Thyrotoxicosis (e.g. Grave's Disease)
    2. Localized increased uptake (Hot Nodule)
      1. Hyperfuntioning Thyroid Nodule

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