6.2.3b
Iodine Deficiency Disorders (endemic Goitre)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 6, Endocrine Disorders.
The printed book uses the number 6.2.3 twice. This is the second heading with that number.
Clinical Description
- More common in highland areas
- Much less likely since the introduction of iodized salt
- Only consult surgeons for treatment if large goitre causing obstructive problems or cosmetically unacceptable.
Signs and Symptoms
- Goitre, Fatigue, If hypothyroid: Constipation and cold intolerance
Investigations
- Thyroid function test
- Thyroid gland ultrasound
Prevention
- Use of Iodised Salt
Prophylaxis:
- Give Aqueous Iodine Oral Solution 130mg/ml single dose
- Repeat every 2years.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
Need this without data?
The app holds every guideline on your device, with calculators, bookmarks and notes.