Primary thyroid hypo- function Flashcards
T4 normal with low to normal T3 level in blood
selenium and copper are needed to cleave T3 from T4 at cellular level.
_____ deficiency is associated with suba-acute thyroid hypofunction
selenium
T4 is a ____ bearing molecule
iodine
low to normal T4 may indicate a need for
iodine
increased T4 can cause a need for decreased
iodine
____ and ____ can bind to T4 and cause a false level of T4 and mask an iodine deficiency
fluoride and chlorine
TSH is usually over ___ in primary hypothyroid dysfunction
4.4
Serum gastrin is usually _____ and ____ 45pg/mL
decrease and below
serum globulin level below 2.4 or above 2.8 indicate
hypochlorhydria
serum phosphorus level indicative of hypochlorhydria
below 3
if triglycerides and cholesterol are increased
primary thyroid hypo-function, hypo-function secondary to anterior pituitary hypo-function and/or adrenal cortical hyper function.
Triglycerides greater than cholesterol suspect
adrenal cortical hyper function and or anterior pituitary hypo function are possible (type 4 alcoholism, Syndrome X, lack of exercise, diets high in carbs should be ruled out)
increased serum magnesium and calcium increased
often increased with primary thyroid hypo-function or hypo-function secondary to anterior pituitary hypo function
*can’t transfer minerals from blood to tissue
the inability to to transfer mineral from blood to tissue is due to
thyroid function, parathyroid function, essential fatty acids and iodine
what is a constant need in both primary and secondary thyroid hypo function?
essential fatty acids
Hemoglobin, Hematocrit, MCV, MCH decreased indicate need for
iron
HCV, MCH increased indicate need for
B12, folic acid, B6
