Hypothyroidism - Darrow Flashcards
myxedema
lymphedema with accumulation of GAGs in skin with doughy feeling
hypothyroid in children
iodine deficiency
congenital defects
hyponatremia
hypothyroid
diastolic HTN
hypothyroid
Abs to TPO
hashimotos
anti-microsomal Abs
subclinical hypothyroidism
normal T4 but high TSH
risk for elevated lipids - CHF and areriosclerotic heart disease
yes for tx of subclinical hypothyroid?
TSH >5 if anti-TPO present
TSH >10 if no Abs
pregnant patients with TPO Abs and TSH >2.5
causes of hypothyroid
hashimotos RAI induced subacute lymphocytic lithium, interferon, amiodarone hepatitis C
other autoimmune diseases with hashimotos
addisons hypoPTH DM PA sjogrens
fatigue, hyporeflexia, dry skin, loose stools, iron defiency anemia, amenorrhea, neuropathy, purpura
hashimotos with celiac disease
carpal tunnel syndrome
tinels sign positive
with hypothyroid
systolc ejection murmur at base with high pitched systolic murmur at apex
aortic stenosis
aortic sclerosis
with hypothyroid
gallavardin phenomenon
dissociation between aortic stenosis murmur
musical at left sternal border and apex
noisy at aortic area
sodium and hypothyroid
low - hyponatremia
decreased Na/K ATPase
tx of hypothyroid
L-thyroxine start - unless pregnant
maintain euthyroid state
those still tired - check anemia, B12 deficiency, sleep apnea
consider low dose T3
