Hyperthyroidism Flashcards
sweating, weight loss, heat intolerance, menstrual irregularity, tachycardia, tremors, and stare are essentials of diagnosis of what condition?
hyperthyroidism
if you have graves disease, you will have what three things?
goiter (often with bruit)
ophthalmopathy
TSH immunoglobulins
affects on T3 and T4 with primary hyperthyroidism?
increased T3 and T4
low TSH
most common cause of hyperthyroidism?
Graves disease
why type of thyroid disease will cause transient hyperthyroidism during initial phase and may occur postpartum (will eventually by hypo)
hashimotos
what are some causes of thyrotoxicosis
high serum hcg in first 4 months of pregnancy,
molar pregnancy, choriocarcinoma, and testicular malignancies
what condition will present with signs such as fever, tachycardia, diaphoresis, tremors, goiters, exopthalmos, hyperflexia, and pretibial myxedema.
hyperthyroidism
Weight loss, dysphagia, rash, palpitations, diarrhea, and anxiety are symptoms of what condition?
hyperthyroidism
Physical exam findings of the thyroid with hyperthyroidism
goiter
moderately enlarged, tender thyroid
physical exam findings of the eye with hyperthyroidism
stare and lid lag
possible chemosis, conjunctivitis, and mild proptosis, diplopia
physical exam findings of the skin with hyperthyroidism
moist warm skin
fine hair
onycholysis
dermopathy
physical exam findings of the heart with hyperthyroidism
palpitations or angina pectoris
arrhythmias
heart failure (rare)
what is a thyroid storm?
triggered by stressful illness, thyroid surgery, or radioactive iondine therapy.
delirium, tachy, vomiting, diarrhea, dehydration, high fever.
rare. mortality rate is high
Treatment for Graves disease
radioactive iodine (treatment of choice for AD)
Beta blockers
long term treatments for hyperthyroidism
besides radioactive iodine, surgical removal is permanent cure.
(need lifelong treatment of levothyroxine)