Thyroid nodules are a common clinical problem. The prevalence of palpable thyroid nodules approximately 5% in women and 1% in men. In contrast, high-resolution ultrasound (US) can detect thyroid nodules in 19-68%. The clinical importance of thyroid nodules is to exclude thyroid cancer, which occurs in 7-15% of cases depending on age, sex, radiation exposure, and family history. Incidental thyroid nodules are being diagnosed with increasing frequency in recent years with the use of newer and highly sensitive imaging techniques. The high prevalence of thyroid nodules necessitates that clinician use evidence-based approaches for their assessment and management. e revised guidelines for the management of thyroid nodules include recommendations regarding initial evaluation, clinical and ultrasound criteria for fine-needle aspiration biopsy, interpretation of fine-needle aspiration biopsy results, use of molecular markers, and management of benign thyroid nodules. Many nodules will not require biopsy. These nodules and those that are cytologically benign can be managed with long-term follow-up alone. If malignancy is suspected, options include surgery. When there are multiple options for diagnosis and/or treatment, they should be discussed with patients as frankly as possible to identify an approach that best meets their needs. This case discusses how to diagnose and treat thyroid-adenomatoid cyst thyroid nodules case with extirpation and thyroidectomy surgery so that the selection of management becomes more precise and can reduce the recurrence rate.

Smell is a chemical substance mixed in the air that humans perceive with their sense of smell. Loss of smell or loss of smell has become very important in recent years. Currently, research on odor is very interesting because it can determine the type of odor, as well as the function of smell. Examination of the intravenous smell test and alcohol smell test is one of the gold standard examinations that can be done to determine the type of smell disorder. To determine the concordance between the results of the intravenous alinamin smell test and the alcohol smell test in patients with olfactory disorders at RSMH Palembang. Observational and analytic research using cross sectional. Data collection was carried out using the medical records of RSUP Dr. Mohammad Hoesin Palembang for the period October 2022 to January 2023. Data were analyzed with IBM SPSS 25. In this study, there were 49 patients with complaints of smell disturbances to the THTBKL department of RSUP Dr. Mohammad Hoesin Palembang. The mean age in the study was 33 years old with the most vulnerable population aged <20 years (26.5%). With the majority of the female sex (57.1%). While the majority of the work is mostly students (26.5%) and complains of gradual disturbance smells (91.8%). Most of the patients who came with complaints of smell disturbances were patients with sinonasal masses (53.1%). The correlation between intravenous alinamin and alcohol smell tests using the Spearman correlation test showed a very strong correlation (r=0.908) and in the conformity test using Cohen's kappa value obtained was 1.000 which means that perfect agreement was reached between the two tests. There is a concordance in the examination results between the alinamin smell test and the alcohol smell test in patients with complaints of smell disorders.