Physiology of Hypothyroidism Flashcards

1
Q

• How does hypothyroidism affect growth in the young animal?

A

Growth retardation, smaller, shorter bones, delayed closure of physes

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2
Q

• How does hypothyroidism affect metabolic actions?

A

Reduced glucose and fat metabolism

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3
Q

• How does hypothyroidism affect the BMR?

A

Lower BMR to 50% of normal level, indirectly affects the respiratory system as reduced demand for oxygen and less carbon dioxide to be excreted

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4
Q

• What happens to your cardiovascular system during hypothyroidism?

A

Bradycardia

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5
Q

• How does hypothyroidism affect the central nervous system?

A

Mentally slower, lethargic and require more sleep

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6
Q

• How does hypothyroidism affect the gastrointestinal system?

A

Causes constipation (decrease in motility)

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7
Q

• Which hormone is the primary biological active hormone, and where it is mainly produced?

A

T3 is the primary biological, most T3 is produced by peripheral tissues

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8
Q

• What are the different types of hypothyroidism?

A

Primary – lack of functional thyroid tissue – lymphocytic thyroiditis is the most common cause
Secondary – impaired secretion of TSH from the pituitary
Tertiary – lack of TRH in the hypothalamic supraoptic and paraventricular nuclei

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9
Q

• What are the common clinical signs of hypothyroidism?

A

Dullness, lethargy, exercise intolerance, obesity without history of polyphagia, cold intolerance

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10
Q

• What are the common dermatological signs?

A

Dry skin, alopecia, hyperpigmentation, lichenification, comedones

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11
Q

• What is myxoedema?

A

Tragic facial expression

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12
Q

• Why do neurological abnormalities occur?

A

From segmental demyelinization and slow nerve conduction

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13
Q

• What reproductive signs are seen in the female?

A

Infertility, shortened oestrus, prolonged oestrual bleeding, prolonged anoestrus

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14
Q

• What type of anaemia can be caused by hypothyroidism?

A

Normocytic, normochromic, non-regenerative anaemia

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15
Q

• What happens to the biochemistry profile?

A

Increased parameters of lipid metabolism & moderately increased hepatic enzymes

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16
Q

• What diagnostic tests can be used to diagnose hypothyroidism?

A

Total T4 (beware of euthyroid sick syndrome), free T4, total T3 (does not reflect thyroid gland function), baseline TSH

17
Q

• How can you distinguish between primary and secondary hyperthyroidism?

A

TRH stimulation test – measures T4 before and after, increased T4 in response to TSH in secondary, no change in primary

18
Q

• What is lymphatic thyroiditis?

A

Immune-mediated destruction of the thyroid gland

19
Q

• What is the prognosis of hypothyroidism in dogs?

A

Adult dogs – excellent

20
Q

• What is the main cause of feline hypothyroidism?

A

Rare – usually due to euthyroid sick syndrome or drugs