Ch 43 Thyroidism

Question 1

Hypothyroidism effects more?

Answer 1

Women than men 30-60

Question 2

Hypothyroidism

Answer 2

Decrease function of thyroid,decrease metabolism,GOITER, Primary- due to thyroid gland

Question 3

Myxedema

Answer 3

Under active thyroid gland
Fat face,skin dry due to lack of sweating,edema under eyes, hair dry coarse

Question 4

Hypothyroidism

Answer 4

Clinical manifestations-decrease emery,increase sleep,weight gain,decrease appetite,susceptibility to cold
Medical management-Levi thyroxine

Complications
•Myxedema coma
‒Hypoxia and CO2 retention
‒Fluid and electrolyte imbalance
‒Hypothermia

Question 5

Hyperthyroidism effects who?

Answer 5

Women than men 20-40

Question 6

Hyperthyroidism

Answer 6

Accelerated metabolism,excess thyroid hormone
Symptoms-exophthalmos
Clinical manifestations- elevated hr, weight loss,hair loss,increase appetite,insomnia,light to no menses
Medical management-surgical thyroidectomy,anti thyroid medications
Complications -thyroid storm- life threatening-too much thyroid hormone

Question 7

Hypoparathyroidism

Answer 7

Most common cause is resection of parathyroid during resection for cancer
Might be idiopathic
Lack of parathyroid hormone

Clinical Manifestations

Decreased calcium levels
•Numbness and tingling around mouth, in hands and feet,tetany(spasms)

Question 8

Hyperparthyroidism

Answer 8

85% caused by parathyroid adenomas
•15% caused by hyperplasia of parathyroid
Patho
Increased parathyroid hormone
•Increased calcium
Clinical manifestations
Polyuria
Anorexia
Cardiac changes
Muscle weakness
Bone pain