Lec 2 -Endocrine Disorders 2 Flashcards
What are the 3 thyroid hormones mentioned?
Thyroxine (T4)
Tri-iodo-thyronine (T3)
Calcitonin
List 5 clinical features of hyperthyroidism.
Increased metabolic rate
High body temperature
Heat intolerance
Tachycardia
Weight loss
What is the most common cause of hyperthyroidism?
Graves’ disease.
Mention 3 oral manifestations of hyperthyroidism related to teeth.
Advanced rate of dental development
Early eruption
Premature loss of primary teeth
Mention 2 radiographic features of hyperthyroidism.
Generalized osteoporosis
Alveolar resorption
List 3 oral manifestations of hyperthyroidism in general oral cavity.
Increased susceptibility to caries
Increased susceptibility to periodontal disease
Burning mouth syndrome
What oral side effect can anti-thyroid drugs cause?
Oro-pharyngeal ulceration.
What is a serious risk of anti-thyroid medications like Methimazole?
Bone marrow suppression (agranulocytosis).
What is an important oral manifestation of neutropenia and agranulocytosis?
Gingival ulceration with necrosis.
What are the main triggers that can precipitate thyroid storm? (mention 3)
Anxiety
Infection
Adrenaline
List 3 signs/symptoms of thyroid storm.
Extreme restlessness
Profuse sweating
Fever
Name 2 medications used in the management of thyroid crisis.
Intravenous corticosteroids (hydrocortisone)
Anti-thyroid drugs & adrenergic B blockers
What are two main types of hypothyroidism mentioned?
Cretinism - Congenital hypothyroidism.
Myxoedema
Mention 3 oral manifestations of cretinism.
Delayed eruption
Macroglossia
Micrognathia
List 3 clinical manifestations of hypothyroidism in adults.
Cold intolerance
Weight gain
Bradycardia
Mention 3 manifestations of Myxedema coma.
Hypothermia
Hypotension
Bradycardia
What is the emergency management for Myxedema coma (initial steps)?
200 mg hydrocortisone IV
Artificial respiration
Warm patient
Call ambulance
What are 3 oral manifestations of Hypo-parathyroidism?
Enamel hypoplasia
Oral candidiasis
Delayed teeth eruption short roots
