14. Thyreoiditis de Quervain Flashcards

1
Q

(Thyreoiditis de Quervain)

prädisponierende Faktoren

A

Virusinfektionen der oberen Atemwege

(subakutes Auftreten)

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2
Q

(Thyreoiditis de Quervain)

Phasen (3)

A
  1. initiale Hyperthyreose
  2. transiente Hypothyreose
  3. Rekonvaleszenz
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3
Q

(Thyreoiditis de Quervain)

Prognose

A

selbstlimitierend

(Spontanheilung in 80% der Fälle)

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4
Q

(Thyreoiditis de Quervain)

Leitsymptom

A

Halsschmerzen

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5
Q

(Thyreoiditis de Quervain)

Befund

A

druckschmerzhafte und vergrößerte Schilddrüse

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6
Q

(Thyreoiditis de Quervain)

Laborbefund

A

BSG massiv erhöht

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7
Q

(Thyreoiditis de Quervain)

Bildgebung der Wahl

A

Sonografie

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8
Q

(Thyreoiditis de Quervain)

sonografischer Befund

A

echoarm mit teils landkartenähnlich konfluierenden Arealen

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9
Q

(Thyreoiditis de Quervain)

Therapieentscheidung

A
  • ausgeprägte Allgemeinsymptome
  • ausgeprägte Hyperthyreose
  • symptomatische Hypothyreose
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10
Q

(Thyreoiditis de Quervain)

Therapie bei ausgeprägten Allgemeinsymptomen

A

Prednison

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11
Q

(Thyreoiditis de Quervain)

Therapie bei ausgeprägter Hyperthyreose

A

Propranolol

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12
Q

(Thyreoiditis de Quervain)

Therapie bei symptomatischer Hypothyreose

A

Levothyroxin

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