Midterm 2- Thyroid Condition Flashcards
low TSH, incr in free T4/T3
hyperthyroidism
hypothryoidism w/ goiter: __
hypothyroidism w/o goiter:__
goiter: hashimotos
w/o: atrophic thyroiditis
elevated T3/T4
and elevated antithyroid AB
Graves Dz
hyper-
low T4
hypothyroidism
low T4 and elevated anti-microsomal AB
hashimoto’s
+ goiter
-anterior neck pain
low grade fever (viral and seasonal in origin) –> infection begins to destroy thyroid follicles
lab: reduced radioactive iodine uptake
subacute DeQuervain’s thyroiditis
- non-tender goiter
- low radioactive uptake of iodine
- initial “ hyper” for 3 wks, followed by 4-16 wk period of “hypo”
-4-8 wks post-partum, nervous and palpitations
silent thyroiditis
- slowly enlarging hard, non-tender anterior neck mass
- replacement of glandular tiss with dense fibrotic tiss
- normal fxn gland
riedel’s thyroiditis
- hard enlarged, painless swelling in the anterior neck
- calcitonin levels are elevated
- radioactive iodine uptake test: “cold” lesions (non-functional its)
thyroid CA
elderly who have enuresis
deficiency in ADH
diabetes insipidis
multi nodular goiter
child has impaired cognition and hearing, dropped IQ
Iodine-deficiency disorders (endemic goiter)
- tetany
- spasms
- tingling of lips and hands
- M cramps
(+): chvostek and trousseau
signs
lab:
- low serum Ca+
- high phosphate
hypoparathyroidism
hyperparathyroidism:
- renal calculi
- polyuria
- HT
- constipation
- fatigue
mutation in type 1 collagen
labs:
- serum Ca+
- phosphate
- PTH
osteogenesis imperfecta
-weakness, fatigue, wt loss
PE:
- sparse axillary hair
- incr skin pigmentation
- reduction of heart size
labs:
- low serum Na+
- elevated K, Ca+, and BUN
- neutropenia
- eosinophilia
- lymphocytosis
addison’s dz
