05 30 yo palpitations Flashcards
1
Q
s/s hyperthyroidism
A
heat intolerance tachycardia fatigue weight loss tremor inc sweating exertional dyspnea
2
Q
cuases of goiter
A
lack of iodine hypothyroidism hyperthyroidism nodules thyroid cancer pregnancy thyroiditis
3
Q
graves ds
A
thyrotripin receptor antibodies (thyroid stimulating abs)
40-60, women
4
Q
eye involvment Graves
A
eyelid retraction
exophthalmos
5
Q
s/s hypothyroid
A
weight gain, cold intolerance, pedal edema, heavy periods, fatigue
6
Q
tx Graves disease
A
methimazole
se: agranulocytosis
oral dose radioactive iodine
few se, have to take thyroid replacement (take pregnancy test)
7
Q
thyroid replacement
A
starting dose thyroxine - 1.5 to 1.8 mcg per kg
increase slowly
repeat TSH in 6 weeks
once stable, check TSH once or twice a year
8
Q
High RAIU causes
A
Graves multinodular goiter toxic solitary goiter TSH-secreting pituitary tumor HCG secreting tumor
9
Q
Low RAIU
A
subacute thyroiditis silent thyroiditis iodine induced exogenous L-thyroxine struma ovarii amiodarone
