[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"menu":3,"$fRB3WXCsBmJyAzqymUrQY7se3lMuATIkQ3jTO_kIudww":210},{"main":4,"mainTranslated":17,"footer":45,"footerTranslated":109},[5,8,11,14],{"title":6,"url":7},"Course library","https:\u002F\u002Fwww.medmastery.com\u002Fcourse-library",{"title":9,"url":10},"Pricing","https:\u002F\u002Fwww.medmastery.com\u002Fpricing",{"title":12,"url":13},"Earn credits","https:\u002F\u002Fwww.medmastery.com\u002Fcme-credits",{"title":15,"url":16},"Institutions","https:\u002F\u002Fwww.medmastery.com\u002Finstitutions",{"de":18,"es":27,"fr":36},[19,21,23,25],{"title":20,"url":7},"Kurse",{"title":22,"url":10},"Preise",{"title":24,"url":13},"CME-Punkte",{"title":26,"url":16},"Organisationen",[28,30,32,34],{"title":29,"url":7},"Biblioteca de cursos",{"title":31,"url":10},"Precios",{"title":33,"url":13},"Gana créditos",{"title":35,"url":16},"Instituciones",[37,39,41,43],{"title":38,"url":7},"Cours",{"title":40,"url":10},"Tarifs",{"title":42,"url":13},"Obtenir des crédits",{"title":44,"url":16},"Établissements",[46,59,79,97],{"title":47,"group":48,"menu":49},"Company",true,[50,53,56],{"title":51,"url":52},"Our teachers","https:\u002F\u002Fwww.medmastery.com\u002Fteachers",{"title":54,"url":55},"About us","https:\u002F\u002Fwww.medmastery.com\u002Fabout-us",{"title":57,"url":58},"Work with us","https:\u002F\u002Fwww.medmastery.com\u002Fwork-with-us",{"title":60,"group":48,"menu":61},"Product",[62,64,67,70,73,76,78],{"title":63,"url":7},"Courses",{"title":65,"url":66},"Magazine","https:\u002F\u002Fwww.medmastery.com\u002Fmagazine",{"title":68,"url":69},"Podcast","https:\u002F\u002Fwww.medmastery.com\u002Fpodcasts",{"title":71,"url":72},"Webinars","https:\u002F\u002Fwww.medmastery.com\u002Fwebinars",{"title":74,"url":75},"Guides","https:\u002F\u002Fwww.medmastery.com\u002Fguides",{"title":15,"url":77},"https:\u002F\u002Fwww.medmastery.com\u002Finstitutions\u002F",{"title":9,"url":10},{"title":80,"group":48,"menu":81},"Legal",[82,85,88,91,94],{"title":83,"url":84},"Imprint","https:\u002F\u002Fwww.medmastery.com\u002Fimprint",{"title":86,"url":87},"Newsletter policy","https:\u002F\u002Fwww.medmastery.com\u002Fnewsletter-privacy-policy",{"title":89,"url":90},"Privacy policy","https:\u002F\u002Fwww.medmastery.com\u002Fprivacy-policy",{"title":92,"url":93},"Cookie Policy","https:\u002F\u002Fwww.medmastery.com\u002Fcookie-policy",{"title":95,"url":96},"Terms","https:\u002F\u002Fwww.medmastery.com\u002Fterms",{"title":98,"group":48,"menu":99},"Customer support",[100,103,106],{"title":101,"url":102},"FAQs","https:\u002F\u002Fwww.medmastery.com\u002Ffaqs",{"title":104,"url":105},"Contact","https:\u002F\u002Fwww.medmastery.com\u002Fcontact",{"title":107,"url":108},"support@medmastery.com","mailto:support@medmastery.com",{"de":110,"es":143,"fr":177},[111,118,128,137],{"title":112,"group":48,"menu":113},"Unternehmen",[114,116,117],{"title":115,"url":52},"Unsere Dozentinnen und Dozenten",{"title":54,"url":55},{"title":57,"url":58},{"title":119,"group":48,"menu":120},"Produkt",[121,122,123,124,125,126,127],{"title":20,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":26,"url":77},{"title":22,"url":10},{"title":129,"group":48,"menu":130},"Rechtliches",[131,133,134,135,136],{"title":132,"url":84},"Impressum",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":138,"group":48,"menu":139},"Kundenservice",[140,141,142],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[144,151,162,171],{"title":145,"group":48,"menu":146},"Empresa",[147,149,150],{"title":148,"url":52},"Nuestros profesores",{"title":54,"url":55},{"title":57,"url":58},{"title":152,"group":48,"menu":153},"Producto",[154,156,157,158,159,160,161],{"title":155,"url":7},"Cursos",{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":35,"url":77},{"title":31,"url":10},{"title":163,"group":48,"menu":164},"Información legal",[165,167,168,169,170],{"title":166,"url":84},"Aviso legal",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":172,"group":48,"menu":173},"Atención al cliente",[174,175,176],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[178,185,196,204],{"title":179,"group":48,"menu":180},"Entreprise",[181,183,184],{"title":182,"url":52},"Nos enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":271,"meta":338,"internal":348},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":239,"author":261,"readDuration":269,"readDurationFormatted":270},"Diagnosing toxic thyroid nodules","In this video, you'll learn basic pathophysiology of toxic thyroid nodules and how to diagnose them in your labs, ultrasound, and radio iodine scan.",{"id":215,"name":216},1,"Course previews",[218,229,234],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},100,{"platform":223,"name":224,"url":225,"size":226},"YouTube","How to diagnose toxic thyroid nodules like a pro","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=C2-3qX8my8Q",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},12,"\u003Cp>In this short video, endocrinologist Tracy Tylee, MD, will explain the basic pathophysiology of toxic thyroid nodules and how to diagnose them in your labs, ultrasound, and radio iodine scan. Enjoy!\u003C\u002Fp>\u003Cp>If you like this video, make sure to check out our \u003Ca href=\"\u002Fcourse\u002Fthyroid-disease-masterclass\">Thyroid Disease Masterclass\u003C\u002Fa>, where you'll become an expert of the thyroid gland!\u003C\u002Fp>",{"type":230,"data":235},{"readDurationInSeconds":236,"title":237,"text":238},46.93333333333333,"Video Transcript","\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-06006f75-7fff-3803-77ee-23ad4d8c8406\">[00:00:00] \u003C\u002Fb>Another cause of hypothyroidism is autonomous or hyperfunctioning nodules. These are often suspected based on exam or on imaging findings. In this case, the thyroid has a nodule that is producing excess thyroid hormone. The thyroid hormone enters the bloodstream and acts at the level of the pituitary to decrease TSH. The labs will show an increase in thyroid hormone levels with a low TSH level. Thyroid nodules are more common in older people \u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-06006f75-7fff-3803-77ee-23ad4d8c8406\">[00:00:30] \u003C\u002Fb>and more common in individuals who are from areas of iodine deficiency, which is Russia, parts of Europe, Africa, and Southeast Asia. Autonomous nodules tend to get worse over time. They grow bigger and tend to cause more symptoms. If you suspect an autonomous nodule based on exam, you should obtain an ultrasound, which will confirm the presence of a nodule but will not give you information about whether or not that nodule is hyperfunctioning. For that, you need to obtain a radioactive iodine scan. Autonomous nodules will appear as intense areas of focal \u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cb id=\"docs-internal-guid-06006f75-7fff-3803-77ee-23ad4d8c8406\">[00:01:00] \u003C\u002Fb>uptake on the scan, consistent with a hot nodule. Non-functioning or cold nodules will show decreased uptake and occasionally, you'll have a thyroid with both hot nodules and cold nodules. But the radioactive iodine scan is the only way to definitively diagnose an autonomously functioning nodule.\u003C\u002Fp>",{"courses":240,"showAwardsBelow":48},[241],{"id":242,"isFreeCmeCourse":243,"title":244,"type":245,"specialization":246,"teachers":248,"cmeCredits":250,"teacherIllustration":251,"backgroundImage":252,"relativeUrl":253,"lastChanged":254,"created":255,"description":256,"relativeURL":253,"meta":257},3749,false,"Thyroid Disease Masterclass","course",[247],"Endocrinology",[249],"Tracy Tylee, MD",3,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55f0f-1e9c-413b-a826-11c1e0ec9808","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F99f55f0f-e1ca-46d7-9d36-ce0e3d322f8b","\u002Fcourses\u002Fthyroid-disease-masterclass","1767867649","1499852541","Using simple illustrations and elegant animations, we review the pathophysiology of thyroid dysfunction, discuss the interpretation of thyroid tests, explain how pregnancy and certain medications can alter thyroid function, and evaluate the best treatment options—this course will prepare you to confidently assess and effectively manage patients with thyroid disease.",{"duration":258,"quizzes":259,"lessons":260},5383,9,56,{"id":262,"name":249,"image":263,"profession":264,"relativeUrl":267,"specializations":268},3748,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cefc-88e6-4632-a711-cf90c6d98c24",{"name":265,"description":266},"Endocrinologist","Tracy is an Associate Professor of Endocrinology at the University of Washington, and Program Director for the Endocrinology Fellowship Program.","\u002Fteachers\u002Ftracy-tylee-md",[247],66,"2m",[272,300,319],{"id":273,"title":274,"text":275,"image":276,"author":284,"path":293,"readDuration":294,"readDurationFormatted":295,"internal":296},1351,"Starting statins as first-line therapy for hyperlipidemia","Starting statins: how to choose the right agent for your patient, match statin intensity to cardiovascular risk, and monitor effectively after initiation.",{"alt":277,"title":278,"size":279,"location":281},"Healthcare provider discussing starting statins with a patient and reviewing a medication bottle","",{"width":280,"height":280},660,{"bucket":282,"key":283},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC121(2)_magazine image.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":290,"weight":292},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":291},"Internist",4,"\u002Fmagazine\u002Fstarting-statins-first-line-therapy",238,"4m",{"created":297,"updated":298,"published":299},1778960150,1779196374,1778961827,{"id":301,"title":302,"text":303,"image":304,"author":310,"path":312,"readDuration":313,"readDurationFormatted":314,"internal":315},1350,"How to recognize INOCA (ANOCA) on an exercise stress test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. Learn to recognize and report it with exercise stress ECG.",{"alt":305,"title":278,"size":306,"location":308},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).",{"width":307,"height":307},1200,{"bucket":282,"key":309},"\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":311,"weight":292},{"name":291},"\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,"3m",{"created":316,"updated":317,"published":318},1778115738,1778799792,1778118255,{"id":320,"title":321,"text":322,"image":323,"author":329,"path":331,"readDuration":332,"readDurationFormatted":333,"internal":334},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":324,"title":278,"size":325,"location":327},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":326,"height":326},600,{"bucket":282,"key":328},"\u002F2026-04\u002FC121_magazine image.png",{"id":285,"title":286,"relativeURL":287,"image":288,"professionLong":289,"profession":330,"weight":292},{"name":291},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":335,"updated":336,"published":337},1777403036,1777572381,1777412421,{"seo":339,"og":341},{"title":340,"description":213},"Diagnosing toxic thyroid nodules | Medmastery",{"title":340,"description":213,"image":342},{"alt":278,"title":278,"size":343,"location":346},{"width":344,"height":345},480,313,{"bucket":282,"key":347},"\u002Fmigrated-images\u002F170801-magazine.jpg",{"id":349,"created":350,"updated":351,"published":350},130,1501584726,1736535312]