Thyroid Nodules
Evaluation & Management Algorithm
How to use this algorithm:
Navigate through the clinical pathway by selecting options at each decision point. The breadcrumb trail shows your path. You can go back, restart, or jump to any step using the overview at the bottom. Each step contains evidence-based guidance from ATA 2015, BTA/RCR 2026.
Assessment
Decision Point
Action
Outcome
Thyroid Nodules Clinical Pathway
Assessment
Initial Assessment
Evaluate thyroid nodule
•History: duration, growth rate, compressive symptoms, voice changes
•Risk factors: radiation exposure, family history of thyroid cancer, age <20 or >60
•Examination: nodule characteristics, cervical lymph nodes, vocal cord function
•FIRST STEP: Check TSH before ultrasound
Next Steps — Select One:
View all pathway steps (10 total)
Sources:
ATA 2015, BTA/RCR 2026