User talk:Crookshankx/Subacute thyroiditis

Peer Review Comments
Lead:

-Information is good, although I would see if you can make it a little more simple to read. (Specifically clarifying “temporal”- by defining it could be helpful.) There also may be a way to quickly define subacute granulomatous (or link it?) so that it isn’t so much information all in one bite that the reader may not have a good idea of. (Although you do have it come up in the next section which clarifies/)

Types:

Thyroiditis - would define or link to an existing page.

I think use of bullet points and/or subheadings would help make this section easier to digest. I am unsure how complicated it would be to add a table of the types? (Or maybe you could find an image that organizes them somehow?)

Pathophysiology:

Minor edit, when you say “both” types it my be helpful to put a quick where you remind us what the two types are (since there was brief mention of postpartum, as well as use of multiple terms (aka subacute lymphocytic aka painless or silent).

-I would define the thyrotoxic, hypothyroid, euthyroid terms (or link them to existing pages that define them).

Overall good information but I think it could be simplified for a non-medical reader.

Signs and Symptoms:

-make sure to define or link eras like malaise, arthralgia, diffuse.

-I understand that in subacute lymphocytic the difference is a painfless thyroid versus an enlarged/firm thyroid, however it is unclear if the other points (ex preceding viral infection) refer to both types or only subacute granulomatous.

-Could be helpful to add a graphic about hypo versus hypothyroid symptoms for the second paragraph, or at least link to a page that does. It is hard to eval when obviously we know what the symptoms are and why they occur, but would be nice if there was a way to succinctly point the reader to how the symptoms relate.

Diagnosis:

When you say clinical diagnosis, I would clarify, ex “meaning a diagnosis that is not made based off a single medical test” or something along those lines.

For ESR/CRP I would link to what the tests are, and potentially add a little bit more explanation in your test, such as these are markers of inflammation found via a blood test.

-May be helpful to define antibodies in very simple terms then say that anti-thyroid peroxidase and thyroglobulin target components of the thyroid gland including the enzyme thyroid peroxidase and the molecule thyroglobulin which functions to ___.

-Would like to page on radioactive iodine uptake scan and thyroid ultrasound.

-Could comment on utility of these tests, are they super reliable or not? Are there any follow up tests commonly used if the scan is negative versus positive?

Would define RAIU when it is used in the text.

Treatment:

-I think transient could be replaced by a simple word such as temporary or short-term?

-Would define symptomatic treatment as well (ie, treatment does not aim to cure the condition, but rather to relieve the symptoms a patient is experiencing as a result).

-Would clarify the role of steroids, are they used for pain? Currently it sounds like in a case where someone has pain the steroids are added for further pain relief, may be a good place to clarify ie they decrease inflammation and further improve pain?

-Clarify why the beta blockers can be used or link to an existing page that makes this connection. Could be something as simple as “because a hyperthyroid state can cause increased blood pressure and heart rate, blood pressure medications such as beta blockers may be used to bring these numbers down to a normal range”.

-Instead of saying you don’t need antithyroid drugs since it is transient, maybe say since the condition resolves on its own.

Final sentence could be expanded, give a little more detail on how the damage could be permanent, define levothyroxine, is this a lifetime medication requirement if the damage is permanent or is there a chance they won’t have to take it forever?

Overall Structure and Flow

I think the general layout and information is there, could use a little more explanation in a few places to aid with readability for the average person.

Balanced Coverage

The types section seems like it could have a little more info since it is central to the understanding of the rest of the article. I also think symptoms could be fleshed out a little more. But as a start I think you did a nice job of keeping balance.

Neutral Content & Adherence to Topic

I didn’t notice any areas that didn’t read as neutral, and you did an excellent job staying on topic and being concise.

Reliable Sources and Citations

Obviously you don’t have citations finished yet so just make sure to add those in!

Readability

I think this is the biggest area for improvement. From my perspective, it flowed well and had good readability. I would work on trying to simplify the wording when possible, and making sure you try to give a layman definition where possible. Science505 (talk) 22:02, 17 September 2023 (UTC)