Canine Hypothyroidism Flashcards

1
Q

what are the most common etiologies of hypothyroidism?

A
  • primary hypothyroidism is >95% of cases
  • lymphocytic thyroiditis in 50% of cases
  • idiopathic atrophy in 50% of cases
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2
Q

signalment of dogs with hypothyroidism

A

middle aged (5-7yrs old)
purebred dogs

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3
Q

clinical signs of hypothyroidism

A
  • lethargy
  • weakness: decreased metabolic rate and myopathy
  • obesity
  • exercise intolerance
  • alopecia
  • seborrhea
  • myxedema
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4
Q

cardiovascular findings on dogs with hypothyroidism

A
  • bradycardia
  • weak pulses
  • muffled heart sounds
  • low voltage ECG complexes
  • reduced myocardial contractility
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5
Q

T/F: hypocalcemia can cause localized or generalized peripheral neuropathies

A

T

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6
Q

what cns abnormalities are common with hypothyroidism?

A

multifocal CNS signs, hemiparesis, central vestibular signs, cerebellar, multiple cranial nerve deficits

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7
Q

reproductive abnormalities associated with hypothyroidism in dogs

A

severe cases for females may result in infertility, increased periparturient pup mortality and low birth weight

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8
Q

congenital hypothyroidism is more common in __ and common signs are __, __ and ___

A

cats, dwarfism, constipated, dull

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9
Q

how will hypothyroidism shown up on routine bloodwork

A

hypercholesterolemia with a mild non-regenerative anemia

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10
Q

in hypothyroidism the T4 should be __ but may be increased by __

A

increased, T4 autoantibodies

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11
Q

decreased thyroid hormones __ TSH

A

increases

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12
Q

primary hypothyroidism causes __ TSH

A

elevated

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13
Q

serum TSH is is elevated in what percent of dogs with hypothyroidism? what may be combined with this for dx?

A

65-75% of hypothyroid dogs, combined with T4 or fT4 is dx

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14
Q

what breeds have lower T4 and fT4 than other breeds?

A

sighthounnds

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15
Q

which thyroid hormone is least effected by non-thyroidal illness and autoantibodies?

A

fT4

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16
Q

autoantibodies to T4 or T3 indicate what?

A

autoimmune thyroiditis NOT hypo or hyperthyroidism

17
Q

what percent of hypothyroid dogs have low T4 or fT4

A

90-98%

18
Q

tx of hypothyroidism

A

levothyroxine, response usually rapid but derm signs will take a few months to resolve

19
Q

therapeutic monitoring

A

4-6 hours post-pill total T4 should be 35-80 nmol/L

20
Q

what should you do if you oversupplement levothyroxine?

A

confirm with post-pill, stop tx for 2-3 days then reinstitute at 50-75% of the original dose

21
Q
A