Hypothyroid vs Hyperthyroid disease

Question 1

what is the most common prssentation of hyperthyroid presentation

Answer 1

Graves disease

Question 2

what is the most common presentation of hypothyroid presentation

Answer 2

Hashimoto’s Thyroiditis

Question 3

s/s of hyperthyrodism

Answer 3

” Overdrive”
- nervousness
- anxiety
- exothalmos
- increased incidence of afib

Question 4

labs/diagnostics of hyperthyroidism

Answer 4

TSH is LOW
T3 is elevated ( 80-230)

Question 5

what medication is usde for management of hyperthyroid symptoms

Answer 5

propanolol 10 mg for symptomatic relief up to 4x/day

-

Question 6

hyperthyroid management

Answer 6

Methimazole (Tapole) 30-60 mg/day in 3 divided doses
Propylthiouricil (PTU) 300-600 mg daily in 4 divided doses

Question 7

Complication of hyperthyroid

Answer 7

Thyroid crisis aka Thyroid storm

Question 8

treatment of thyroid crisis

Answer 8

PTU 150- 250 mg every 6 hrs

or

Tapazole 15-25 mg every 6 hrs w/
lugol’s solution
sodium iodide
propanolol
hydrocortisone

AVOID ASPIRIN

Question 9

s/s of hypothyroidism

Answer 9

• extreme weakness
• muscle fatigue
• constipation
• muscle gain
• hair loss

Question 10

labs/diagnostics of hypothyroid

Answer 10

Elevated TSH
T4 LOW
hyponatremia
hypoglycemia

Question 11

management of hypothyroid

Answer 11

levothyroxine (synthroid) 50-100 mcg. increase dose by 25 mcg every 1-2 wks

start low, going slow

Question 12

hypothyroid patient complication

Answer 12

Myxedema Coma

Question 13

synthroid has an increased incodence of

Answer 13

MI

Question 14

Management of Myxedema Coma

Answer 14

• air/breathing /circulation
• levothyroxine 400 mcg x1 IV x1, then 100 mcg daily
• support hypotension/bradycardia
• symptomatic care