Endo II - Thyroid Disorders Flashcards
bradycardia, HTN
cold intolerance
constipation
anaemia
carpel tunnel syndrome
dry skin, delayed DTR
myxoedema
hyperthyroidism
TSH high
fT4 low
fT3 low/n
primary hypothyroidism (thyroid gland)
TSH low
fT4 low
T3 low
secondary / tertiary hypothyroidism (pituitary)
TSH normal
T4 normal
T3 decreased
associated with acute illness
Euthyroid sick syndrome
T4 not converted to T3
associated with cytokines; IL-1, IL-6, TNF-a, IFN-b
child
iodine deficiency
thyroid hypoplasia
pale, puffy face
protruding umbilicus
poor brain development
protuberant tongue
pot bellied
congenital hypothyroidism - Cretinism
hashimotos thyroiditis is type ____ hypersensitivity
type 4 HS
What are the 3 phases of hashimitos thyroiditis
thyrotoxic phase
hypothyroid phase
euthyroid phase
damage to follicular cells, release colloid
increased T3, T4
decreased TSH
Thyrotoxic phase - hashimoto thyroiditis
last 2-8 weeks
permanent subacute granulomatous thyroiditis
low T3, T4
high TSH
hypothyroid phase - hashimoto thyroiditis
what antibodies are seen in hashimoto thyroiditis
thyroid peroxidase (TPOAb)
thyroglobulin (TgAb)
antimicrosomal Ab
low T3
high TSH
anti-TPOAb (+)
anti-TgAb (+)
painless diffuse thyroid enlargement
lymphocytic infiltration
Hurthle cells
hashimoto thyroiditis
complications of hashimoto thyroiditis
hashitoxicosis
increased risk B cell lymphoma
myxoedema coma
severe hypothyroidism
Decreased CNS
Hypothermia
Bradycardia
Hyponatraemia
Hypoglycaemia
Hypotension
Precipitating illness
myxoedema coma
(hypothyroidism)
iodine induced hypothyroidism
excess iodine - inhibited organification
normal thyroid function
escape phenomena present
Wolf-Chaikoff effect
iodine induced hyperthyroidism
iodine deficient hypothyroidism
increased iodine exposure - excessive hormone sythesis
not occur in euthyroid individuals
Jod-Basedown phenomenon