How to prepare for a video visit about Thyroid Nodules - Triage

Audience: adult

Thyroid nodules are lumps that can form in the thyroid gland, located in the neck. Many thyroid nodules are harmless, but some may need further evaluation. A video visit (telemedicine) can help your healthcare provider understand your symptoms and decide if you need tests or in-person care. Preparing well for your video visit helps make the most of your time with the provider. This guide explains what to expect, how to prepare, and when to seek urgent care. Remember, telemedicine can support early evaluation and advice but cannot replace hands-on exams or certain tests. If you notice serious symptoms like difficulty breathing or swallowing, seek emergency care immediately.

Red flags — go in person / ER

• Sudden difficulty breathing or swallowing — seek emergency care immediately.
• Rapidly growing lump in the neck — contact your healthcare provider urgently.
• Persistent hoarseness or voice changes lasting more than two weeks — schedule prompt evaluation.

What telemedicine can do

• Initial symptom discussion and history taking for thyroid nodules.
• Visual inspection of the neck via video to assess visible lumps or swelling.
• Guidance on when to seek in-person evaluation or testing.
• Review of test results and follow-up advice.

What telemedicine cannot do

• Physical palpation of the thyroid gland.
• Ultrasound imaging or biopsy procedures.
• Emergency care for severe symptoms.
• Definitive diagnosis and surgical planning.

What are Thyroid Nodules?

Thyroid nodules are small lumps that develop in the thyroid gland at the front of your neck. Most nodules do not cause symptoms and are found during routine exams or imaging tests. Some nodules may cause swelling, discomfort, or changes in hormone levels. While most are benign (not cancer), some nodules need further testing to rule out serious problems.

What to Expect During Your Video Visit

During your video visit, your healthcare provider will ask about your symptoms, medical history, and any changes in your neck or voice. They may ask you to show your neck on camera to check for visible lumps or swelling. The provider will discuss whether you need blood tests, ultrasound imaging, or an in-person exam. They will also advise you on monitoring your symptoms and next steps.

How to Prepare for Your Video Visit

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When to Seek Urgent Care

Certain symptoms need prompt medical attention. Call emergency services or go to the nearest emergency room if you experience:

These signs may indicate serious conditions that require immediate evaluation.

Limitations of Telemedicine for Thyroid Nodules

Telemedicine allows your provider to gather information and guide your care but cannot replace physical exams, ultrasound imaging, or biopsy procedures. If your provider recommends in-person tests or visits, it is important to follow through for accurate diagnosis and treatment.

How to prepare for your tele-visit

• Choose a quiet, well-lit area with reliable internet for your video visit.
• Prepare a list of symptoms, including onset and changes.
• Gather your medical history and family history related to thyroid issues.
• List all current medications and supplements.
• Have a mirror available to show your neck if requested.
• Write down any questions or concerns to discuss with your provider.

After your tele-visit

• Follow your provider’s recommendations for any tests or in-person visits.
• Monitor your symptoms and report any new or worsening signs.
• Keep a record of test results and treatment plans.
• Schedule follow-up appointments as advised.
• Seek immediate care if you experience red-flag symptoms.
• Maintain communication with your healthcare team for ongoing support.

FAQs

What causes thyroid nodules?

Thyroid nodules can be caused by a variety of factors including iodine deficiency, thyroid cysts, inflammation, or growth of thyroid tissue. Most nodules are benign and not cancerous.

Can a video visit diagnose thyroid nodules?

A video visit can help your provider understand your symptoms and decide if you need further tests. However, it cannot replace physical exams or imaging needed for diagnosis.

What tests might I need after the video visit?

Your provider may recommend blood tests to check thyroid function, ultrasound imaging to look at the nodules, or a biopsy to sample tissue if needed.

Are thyroid nodules usually cancerous?

Most thyroid nodules are benign (non-cancerous). Only a small percentage are cancerous, so evaluation is important to determine the nature of the nodule.

When should I go to the emergency room?

Seek emergency care if you have sudden trouble breathing or swallowing, severe neck pain, rapidly growing neck lumps, or persistent hoarseness lasting more than two weeks.

Sources

1. Thyroid Nodules — MedlinePlus, U.S. National Library of Medicine / NIH.
2. Thyroid Nodules: Diagnosis and Management — Mayo Clinic.
3. Thyroid Nodules — Merck Manuals: Consumer Version.
4. Thyroid Nodules — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent symptoms or concerns, please seek immediate medical attention.