mod 8: hypothyroid

Question 1

Hypothyroid more common in ___,___

Answer 1

women, elderly

Question 2

secondary hypothyroidism results from malfunction of ___ or ____ glands= ___

Answer 2

pituitary or hypothalamus gland malfunction = vTSH

Question 3

Primary hypothyroidism = defect in _____

d/t (6)

Answer 3

defect in thyroid gland itself

congenital defects, thyroidectomy, radiation, vIodine, anti-thyroid meds, thyroid hormone synthesis impairment

Question 4

Hashimotos thyroiditis
autoimmune disorder that =
___, ____destruction, ____tissue

Answer 4

inflammation, cellular destruction, scar tissue

Question 5

hypothyroid effects on body systems

Answer 5

all decreased
^peripheral resistance, prolonged PR,inverted t wave, cardiac tamponade
cold intolerant,hld, edema, hyponatremia

Question 6

Secondary hypothyroid caused by
____most commonly
_____injury, _____hemorrhage, ___infarction

Answer 6

pituitary tumors most commonly

traumatic brain injury, subarachnoid hemorrhage, pituitary infarction

Question 7

subclinical hypothyroid labs

mild/high ___, normal ____

Answer 7

Mild, high Tsh normal t3 t4

Question 8

myxedema coma (emergency) has the opposite effect of \_\_\_\_
= decrease in \_\_\_\_\_\_ that can be sudden or gradual

Answer 8

Thyroid storm

Decreased level of consciousness

Question 9

myxedema s/s

7

Answer 9

Hypotension 
Hypo ventilations
Hypothermia
Hypoglycemia 
Lactic acidosis 
coma
Shivering

Question 10

who is at increased risk for myxedema coma

Answer 10

Elderly w comorbidities
Uti
Hf
Stroke
W untreated or moderate hypothyroidism