Endocrinology

Question 1

Describe the clinical appearance, history, and physical of someone presenting with hyperthyroidism

Answer 1

appearance: anxious and thin appearing
history: hint hypermetabolism: weight loss, tremor, heat intolerance, hyperdefecation, palpitation,
physical exam: tachy, htnsive, fever, severe thyrotoxicosis heart failure

Question 2

how to verify thyrotoxicosis using labwork

Answer 2

send for TSH, T3, T4
expect low TSH, high T3, T4

if suspecting malignancy, thyroid ultrasound, FNA biopsy based on criteria

Question 3

How to treat thyrotoxicosis

Answer 3

Betablocker

Question 4

Describe the clinical appearance, history, and physical of someone presenting with hypothyroidism

Answer 4

apathetic appearance
sx: weight gain
cold intolerance
difficulty concentration
fatigue
dry skin and hair
constipation

exam: bradycardic

Question 5

how to verify thyrotoxicosis using labwork. How do we treat?

Answer 5

HIGH TSH
low T3, T4
treatment: levothyroxine 1.6mcg/kg/day