Hyperthyroidism Flashcards
Hyperthyroidism is __TSH and ___ T4
Low TSH
HIGH T4
What are some s/s of hyperthyroidism
Palpitations tachy fatigue ↑ appetite wt loss insomnia agitation heat intolerance exophthalmos goiter, anxiety tremor AFib menorrhagia brittle hair hyperreflexia
What are some complications of a thyroid storm?
Eye changes
Afib
osteoporosis
thyroid storm
What are s/s of thyroid storm
racing heart
sweating
confusion
agitation
What are DDx of hyperthyroidism?
Grave’s
Toxic multinodular goiter
Hashimoto thyroiditis
TSH-secreting Pituitary Adenoma
What are some labs you would order for hyperthyroidism?
TSH
CBC
CMP
Liver panel
Test for hashimotos:
Thyroid-Stimulating immunoglobulin (TSI): elevated
TII: elevated
What would a thyroid RAIU scan show?
Graves dz (whole thyroid lights up)
Hydroiditis (areas of thyroid light up)
How do you treat hyperthyroidism?
Methimazole (longer duration of action w/ fewer ADR)
Propylthiouracil
Radioactive iodine ablation [RAIA]
Surgery (last line): Thyroidectomy
What are ADRs of Methimazole and Propylthiouracil
↑LFTs, agranulocytosis, rash
What tx should a pregnant women be given to treat hyperthyroidism?
Propylthiouracil
consider RAIA or surgery 6 mo. prior.
what are adjunct therapies for hyperthyroidism?
B-blocker: Propranolol (for sxs and can help ↓ peripheral conversion of T3/4)
BZD: for anxiety
when should you f/u with a pt with hyperthyroidism?
4-6 wks for medication
4-6 wks for radioactive tx, 4- 6 wk intervals for 6 months
6-8 week post surgery
What are pt education tips you may give a pt with hyperthyroidism?
inform Dr. If pregnant
may take awhile to improve
exophthalmos may not improve
