Hyperthyroidism Flashcards
1
Q
What is it?
A
High T3/T4 levels
2
Q
Who is it most common in?
A
Young women
3
Q
How does it present?
A
Weight loss Increased appetite Insomnia Irritability Palpitations Goitre Palmar erythema Menstrual disturbances Heat intolerance Lid retraction
4
Q
What are the causes?
A
Graves’ disease - TSH receptor stimulating antibodies
Nodular thyroid disease
Thyroiditis
5
Q
What is the management?
A
Medical - thionamides (carbimazole), beta blockers for symptoms
Radioactive iodine
Thyroid surgery
6
Q
What are the risks of radioactive iodine?
A
Radioactive for a few weeks
Can cause hypothyroidism
7
Q
What are the risks of thyroid surgery?
A
Bleeding
Infection
Hypocalcaemia
Damage to recurrent laryngeal nerve
8
Q
What are the complications?
A
Heart arrythmias
Osteoporosis
Opthalmopathy
Thyrotoxic crisis
