ICM thyroid Flashcards
how thyroid should be palpated
from the back with both hands
things to note on thyroid palpation
size, tenderness, nodules, symmetry
nonthyroid lab abnormalities that can point to thyroid problem
hyponatremia, hypertrigylceridemia, anemia
hypothyroidism DDX
depression, chronic fatigue, CHF, amyloidosis, hypothermia, parkinsonin, adrenal insuffiency
first thought with a goiter
hashimotos
other gland issue to consdider with myxedema
adrenal insuffucuency
other diseases that can develop hypothyroidism
leukemia, primary pulmonary HTN
drug that can cause abnormal TSH
amidarone
hyperthyroidism DDX
psych (anxiety, mania) pheo thyroxine admin catabolism from other dx chronic EtOHism
most common cause of hyperthyroidism
graves
treatment for graves
propranolol
I-131 ablation
PTU.methimazole (if mild)
possible thyroidectomy is severe
best screeing test for thyroid issue
TSH
decreased TSH can be
primary Hyperthyroidism severe illness threatment with tyroid hormone pregnancy meds
increased TSH can be
primary hypothyroidism
autoimmune
meds
what to test AFTER TSH
T4
