Hypothyroid Flashcards
Symptoms of Hypothyroid? (9)
Fatigue Cold Intolerance Weight Gain Arthralgia Myalgia Constipation Depression Period Issues Dry Skin
Signs of Hypothyroid? (8)
Coarse Dry Hair and Skin Oedema Vocal Changes Goitre Bradycardia Hypertension Delayed Relax of Deep Tendon Refleces Paraesthesia due to Carpal Tunnel
Why does Paraesthesia present in Hypothyroid? (1)
Carpal Tunnel
Which tests for Hypothyroid (2)
Check TFTs (T4 and TSH)
What results would indicate Hypothyroid (2)
F4 Decrease
TSH Increase
Which medication for Hypothyroid? (1)
Levothyroxine
After starting Levothyroxine for Hypothyroid how do we monitor? (1)
Measure TFTs every 3 months until TSH level stabilised then once a year once stables
How long can TSH take to stabilise?
5 Months
What is the commonest endocrine condition after Diabetes?
Hypothyroid
Developmental Causes of Primary Hypothyroid? (2)
Development: Agenesis/Maldevelopment
Dyshormonogenesis: Trapping/Organification
All babies in the UK are screened for what?
Congenital Hypothyrodism
Primary Acquired causes of Primary Hypothyroid? (7)
Autoimmune Thyroid Disease: Hashimotos Post Op Radiotherapy for H+N Cancers Antithyroid Drugs: Amiodarone, Lithium, Interferon Chronic Iodine Deficiency Post Subacute Thyroiditis Post Partum Thyroditis
Which antithyroid drugs can cause Primary Hypothyroid? (3)
Amiodarone
Lithium
Interferon
Causes of Secondary/Tertiary Hypothyrodism? (3)
Pituitary Tumour
Craniopharyngioma
Post Pituitary Surgery or Radiotherapy
How to treat Subclinical Hypothyroid?
Levothyroxine
