Hyperthyroidism and Graves’ disease Flashcards
This lady has noticed her eyes look different and her neck is swollen
1
Q
Hyperthyroidism and Graves’ disease
Topics covered include;
History
Goitre
Eye problems
Thyroid status
Examination
Eyes
Discussion
Investigation
Treatment
The NOSPECS mnemonic for the progression of eye signs in Graves’ disease:
No signs or symptoms
Only lid lag/retraction
Soft tissue involvement
Proptosis
Extraocular muscle involvement
Chemosis
Sight loss due to optic nerve compression and atrophy
This lady has noticed her eyes look different and her neck is swollen