thyroid disorders Flashcards


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created 7 days ago by Rereih
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1

causes of hyperthyroidism

  • thyroid stimulators in the blood
  • thyroid hyperfunction
  • graves disease
  • thyroiditis
  • multinodular goiter
  • single hyperfunctioning nodule
  • drugs induced
  • thyrotoxicosis factitia
  • excessive iodine ingestion
  • metastatic thyroid cancer

2

graves disease chara.

  1. hyperthyroidism
  2. goiter
  3. exo-ph-thalmos
  4. infiltrative dermopathy

3

dugs causing hyperthyroidism

interferon alfa

amiodarone

4

primary hypothyroidism types

  1. hashimotos thyroiditis
  2. endemic goiter (iodine deficincy)
  3. congenital hypothyroidism (iodine deficincy)
  4. inherited enzymes deficits
  5. iodine containing drugs
  6. radiation therapy
  7. acquired hypothyroidism (childhood)

5

endemic goiter diagnosis

  1. TSH elevated slightly
  2. T4 low normal
  3. T3 high normal

6

myxedema symptoms

  • hypothermia (24-32)
  • coma
  • areflexia (absence of deep reflexes)
  • seizures
  • respiratory collapse

7

myxedema diagnosis

  • TSH
  • T4
  • ANEMIA

8

myxedema TTT

  • T4 IV
  • T4 oral if stable
  • corticosteroids
  • rewarmed carefully
  • fluid replacement carefully
  • underlying cause
  • drugs carefully hypometabolism of drugs

9

indication of the thyroxine therapy

  • TSH (4.5-10) + Symptoms of early hypothyroidism
  • pregnant
  • planning a pregnancy

10

euthyroid goiter causes

  • puberty , menopause, pregnancy
  • iodine deficincy
  • goitrogens