Hyperthyroidism and Graves’ disease Flashcards

This lady has noticed her eyes look different and her neck is swollen

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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

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