hipotiroidismo Flashcards

1
Q

de que se encargaa T3 y T4 - formadas a partir de yodo y aminoacidos

A

se encargan del metabolismo de lipidos, carbs proteínas

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2
Q

en donde se encuentra T3 y T4

A

higado, tejido adiposo y musculo

*** regulador metabolico

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3
Q

hipotiroidismo

A
  • Fatiga
  • Ganancia de peso
  • Intolerancia al frío
  • Piel seca
  • Constipación
  • Irregularidad de los periodos menstruales
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4
Q

Hipotiroidismo

A

TSH ↑↑↑

T3 y T4 ↓

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5
Q

tx

A

Levotiroxina 1.6-1.8/kg/dia

3 semanas en hacer efecto, pedir panes en un mes

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6
Q

TSH >10 siempre levo si es subclinico

A

en embarazo arriba de 4

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7
Q

a que se relaciona hipotroidosmo

A

enfermedad de hashimoto

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8
Q

enf de hashimoto
* comun en mujeres

A
  • Destrucción autoinmune de la glándula
  • Anticuerpos anti-tiroglobulina (10 a 20%)
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9
Q

hashimoto no se controla con levotiroxina, es qx

A

verdadero

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10
Q

resistencia periferica a hormonas tiroideas

A

hipotiroidismo

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11
Q

TSH universal

A

0.4-4.5

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12
Q

adultos mayores TSH se permite hasta

A

7

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13
Q

T4 va estar disminuida y T3 es la ultima en disminuir

A

T4 se convierte en T3 periferia

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14
Q

T3 comencial en mexico

A

mayor riesgo de tormenta hipertiroidea

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15
Q

cuanto se sube de peso por hipotiroidismo

A

4-5 kg

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16
Q

complicacion mas grave de hipotiroidismo

A

coma mixedematoso

17
Q

coma mixedematoso

A

bradicardia, bradilalia, bradipsiquia, fscesbotagada (glucosaminoglucanos), anemia macrosomica, estreñimiento, alt mesntrual y disfuncion erectil

18
Q

antiecierpos en hipotiroidismo

A

AC anti TPO
AC TG