Thyroid disease (diagnosed)

Were you ever diagnosed to have a thyroid disease?

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Hyperthyroidism (diagnosed)

Which thyroid disease were you diagnosed for? Hyperthyroidism

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Hyperthyroidism (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Hyperthyroidism

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Hypothyroidism (diagnosed)

Which thyroid disease were you diagnosed for? Hypothyroidism

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Hypothyroidism (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Hypothyroidism

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Goiter (diagnosed)

Which thyroid disease were you diagnosed for? Goiter

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Goiter (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Goiter

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Nodule (diagnosed)

Which thyroid disease were you diagnosed for? Nodule

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Nodule (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Nodule

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Graves'/Basedow's disease (diagnosed)

Which thyroid disease were you diagnosed for? Graves'/Basedow's disease

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Graves'/Basedow's disease (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Graves'/Basedow's disease

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Thyroid cancer (diagnosed)

Which thyroid disease were you diagnosed for? Thyroid cancer

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Thyroid cancer (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Thyroid cancer

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Hashimoto's disease (diagnosed)

Which thyroid disease were you diagnosed for? Hashimoto's disease

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Hashimoto's disease (year of diagnosis)

If YES: Do you remember the year of the diagnosis? Hashimoto's disease

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Alteration of thyroid function during pregnancy

Did you suffer from an alteration of the thyroid function during pregnancy?

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Other thyroid disease (diagnosed)

Which thyroid disease were you diagnosed for? A different thyroid disease, not mentioned yet

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Other thyroid disease (year of diagnosis)

Do you remember the year of the diagnosis?

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Other thyroid disease (description)

Do you remember the name of the disease or can you describe it as precisely as possible?

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Radioiodine therapy

Have you ever undergone a radioiodine therapy?

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Radioiodine therapy (when)

In which year?

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Operation to the thyroid gland

Have you ever undergone an operation to the thyroid gland?

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Operation to the thyroid gland (when)

In which year?

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Type of operation to the thyroid gland (list)

Do you remember which kind of operation?

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Other type of operation to the thyroid gland (free text)

Could you please specify as much as you can?

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Therapy for the thyroid (list)

Have you ever undergone a therapy for the thyroid?

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Therapy for the thyroid (from)

Do you remember the year of the first treatment?

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Therapy for the thyroid (to)

Until when did the treatment last? (year)

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Therapy for the thyroid (until today)

Or: Until now

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Other family members with thyroid diseases

Did other persons in your family suffered from diseases to the thyroid function?

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Other family members with thyroid diseases: Mother

Please specify: Mother

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Other family members with thyroid diseases: Father

Please specify: Father

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Other family members with thyroid diseases: Brother(s)

Please specify: Brother(s)

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Other family members with thyroid diseases: Sister(s)

Please specify: Sister(s)

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Other family members with thyroid diseases: Son(s)

Please specify: Son(s)

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Other family members with thyroid diseases: Daughter(s)

Please specify: Daughter(s)

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Other family members with thyroid diseases (description/free text)

Do you remember the name of the disease?

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Thyroid diseases notes (diseases)

Thyroid notes (disease)

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Thyroid diseases notes (surgery)

Thyroid notes (surgery)

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Thyroid diseases notes (therapy)

Thyroid notes (therapy)

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Thyroid diseases notes (familiarity)

Thyroid notes (familiarity)

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Thyroid diseases notes

Thyroid notes

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Thyroid diseases version

Thyroid version

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