What Happens After a Telemedicine Visit for Thyroid Nodules - Triage

Audience: pediatric

After a telemedicine visit about thyroid nodules in children, your healthcare provider will usually explain the next steps based on the information gathered. Thyroid nodules are lumps in the thyroid gland, and while most are not harmful, they need to be checked carefully. The provider may recommend tests like ultrasound imaging or blood tests to learn more. Sometimes, a referral to a specialist or an in-person visit is needed for further examination or biopsy. It is important to watch for any new or worsening symptoms and follow the advice given. This guide helps families understand what to expect after the telemedicine visit and how to prepare for further care if needed. Remember, telemedicine helps guide care but does not replace hands-on medical exams when necessary.

Red flags — go in person / ER

• Sudden difficulty breathing or swallowing — seek emergency care immediately.
• Rapid swelling or growth of the neck area — contact your healthcare provider promptly.
• Severe neck pain or tenderness — get urgent medical evaluation.

What telemedicine can do

• Initial evaluation and history taking for thyroid nodules.
• Providing education about thyroid nodules and possible next steps.
• Ordering initial laboratory tests and imaging studies.
• Referrals to specialists when needed.
• Answering questions about symptoms and care plans.

What telemedicine cannot do

• Performing physical palpation of the thyroid gland.
• Conducting ultrasound imaging or biopsies.
• Managing emergency symptoms such as airway obstruction.
• Providing immediate treatment for severe or rapidly worsening symptoms.

What Are Thyroid Nodules?

Thyroid nodules are lumps that form in the thyroid gland, which is located in the neck. In children, these nodules are often found during exams or imaging for other reasons. Most nodules are harmless, but some may need further testing to make sure they are not causing problems.

What Happens During Your Telemedicine Visit

During the telemedicine visit, the healthcare provider will ask about symptoms, medical history, and any family history of thyroid problems. They may look at the neck area through the camera and discuss any signs you have noticed. This helps decide if more tests or visits are needed.

Possible Next Steps After the Visit

Your provider might suggest an ultrasound to get a detailed picture of the thyroid nodule. Blood tests may check how well the thyroid is working. If needed, you may be referred to a specialist, such as a pediatric endocrinologist, for further care. Sometimes, a biopsy (a small tissue sample) is recommended to check the nodule more closely.

When to Seek Immediate Medical Care

If your child develops sudden difficulty breathing or swallowing, severe neck pain, or rapid growth of the nodule, seek emergency care right away. These signs may mean urgent treatment is needed.

How to Prepare for Your Telemedicine Visit

Before the visit, have a list of your child's symptoms and any questions ready. Make sure the device you use has a good camera and microphone. Find a quiet, well-lit space to talk with the provider. Have any previous medical records or test results available if possible.

Follow-Up Care After the Telemedicine Visit

Follow the provider's instructions about tests or appointments. Keep track of any new symptoms and report them promptly. Regular monitoring may be needed to watch the nodule over time.

How to prepare for your tele-visit

• Prepare a list of your child's symptoms and any questions for the provider.
• Ensure your device has a working camera and microphone.
• Find a quiet and well-lit place for the visit.
• Gather any previous medical records or test results related to thyroid health.
• Have a family member nearby to assist if needed.

After your tele-visit

• Schedule recommended tests such as ultrasound or blood work.
• Follow up with any specialist referrals provided.
• Monitor your child's symptoms and report any changes.
• Keep a record of all appointments and test results.
• Maintain communication with your healthcare provider for ongoing care.

FAQs

What is a thyroid nodule?

A thyroid nodule is a lump in the thyroid gland, which is located in the neck. Most nodules in children are not harmful but need to be checked to ensure they do not cause problems.

Will my child need surgery for a thyroid nodule?

Surgery is not usually needed unless tests show the nodule is causing problems or is suspicious for cancer. Your healthcare provider will guide you based on test results.

Can telemedicine diagnose thyroid nodules?

Telemedicine can help your provider learn about symptoms and decide if further testing is needed, but it cannot diagnose thyroid nodules without imaging and physical exams.

What tests might be done after the telemedicine visit?

Common tests include ultrasound imaging of the thyroid and blood tests to check thyroid function. Sometimes a biopsy may be recommended.

When should I seek emergency care for my child?

Seek emergency care if your child has sudden trouble breathing or swallowing, severe neck pain, or rapid growth of the neck area.

Sources

1. Thyroid Nodules — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Thyroid Nodules in Children — American Academy of Pediatrics.
3. Thyroid Nodules — Mayo Clinic.
4. Thyroid Nodules and Cancer — National Cancer Institute.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has urgent symptoms or worsening condition, seek immediate medical attention.