3.3.3 Thyroid Disease Flashcards

1
Q

What are some features of hypothyroidism?

A

Placcid appearance

pale

withdrawn

BP 150/100

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2
Q

Toxic nodular goider is cause by what?

A

Hyperfunctioning thyroid nodule

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3
Q

How would you treat Graves?

A

Beta-blockers

Calcium channel blockers

Radioactive iodine

thyroidectomy

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4
Q

What is this an image of?

A

Nodular Goiter that is hyperactive

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5
Q

What are some characteristics of T3?

A
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6
Q

What are the diagnostic study findings for Graves?

A

Decreased TSH and increased T3 and T4

Increased RAIU

Presence of thyroid stimulating antibodies

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7
Q

When does Levothyroxine (LT4) need to be taken?

A

On an empty stomach at least one hour away from food.

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8
Q

When can iodide be used?

A

Nuclear emergencies to block the effects of radioactive iodine

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9
Q

What are the diagnostic characteristics of thyroiditis?

A

Decreased TSH and increased T3/T4

Increased ESR > 50

Decreased RAIU

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10
Q

What are these images of?

A

Graves derm

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11
Q

How would you treat thyroiditis?

A

Beta-blockers

Asprin

NSAIDs

Corticosteroids

Non-anti thyroid medications

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12
Q

What is hypothyroidism?

A

Clinical condition in which there is a failure of the thyroid gland to secrete adequate amounts of thyroid hormone

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13
Q

What is the cause of Hashimoto’s Thyroiditis?

A

Antibodies to thyroid peroxidase and thyroglobulin

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14
Q

What is the treatment of Toxic Nodular Goiter?

A

Radioactive iodine ablation

Thioamides

Surgery

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15
Q

What are the derm and ophth findings with hyperthyroidism?

A
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16
Q

What are some diagnostic studies for hypothyroidism?

A

Thyroid levels and antithyroid antibodies

17
Q

Graves disease is caused by?

A

Autoimmune disorder characterized IgG to stimulate TSH receptor

18
Q

What is this an image of?

A

Nuclear uptake imaging showing graves disease

19
Q

Oral estrogen can have what effect on T3 and T4?

A

Potential to increase.

By raising levels of TBG

20
Q

What are some physical findings of hyperthyroidism?

A

Thyroid enlargement

A fib

Proximal muscle weakness

21
Q

What are the findings of Toxic nodular goiter?

A

Decreased TSH

Increased T3/T4

No TSI

22
Q

Primary hypothyroidism is characterized by? (lab values)

A

Decreased free T4 and elevated TSH

23
Q

If Erin (E Money) Calhoun could be any inanimate object, what would she choose?

A

How about an armoire?!

24
Q

What is thyroiditis?

A

Inflammation of the thyroid - may result in excessive release of thyroid hormone