hashimoto - hypothyroidism

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Question 9

what is the typical clinical feature of hashimoto thyroiditis ?

Answer 9

hypothyroidism + goitre- firm non tender + anti-TPO

combination of a goitre with hypothyroidism points to a diagnosis of Hashimoto’s. De Quervain’s thyroiditis typically causes a painful goitre.

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Question 11

Diagnosis of hashimoto thyroiditis?

Answer 11

Anti -TPO (auto antibodies in 90 percent of the case more than Graves’ disease)

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Question 17

hashimoto thyroiditis is also associated with what other diseases ?

Answer 17

Coeliac disease,

type 1 diabetes mellitus,

vitiligo

Hashimoto’s thyroiditis is associated with the development of MALT lymphoma

Question 18

what other diseases of the thyroid presents with hypothyroidism ?

Answer 18

iodine deficiency
lithium
subacute (de quervian)
post partum thyroiditis

Question 19

Hashimoto’s thyroiditis is associated with the development of ?

Answer 19

Thyroid lymphoma - gradually bigger over the last 2 months
solitary, painless, hard, immobile nodule

(Papillary thyroid cancer is a more slow-growing form of thyroid cancer)

Question 20

How can we differentiate thyroglossal cyst from Thyroid lymphoma

Answer 20

The lesion is MOBILE

also move upwards on tongue protrusion

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Question 24

There is confusion and found to be hypothermic with a low blood pressure and bradycardia

Answer 24

myxoedemic coma

Question 25

management for myxoedemic coma ?

Answer 25

thyroxine and hydrocortisone