Thyroid Flashcards
What are T3/4 partially composed of
Iodine
What do thyroid hormones have a progound effect on
METOBOLISM, CARDIAC function, FROWTH, DEVELOPMENT
What are the actions of thyroid hormone
Stimulate ENERGY use, the HEART, promote GROWTH and DEVELOPMENT
What does the throid produce and what is it stimulated by
T3/4, low plasma levels of IODINE
Where is the thyroid-stimulating hormone produced
Piuitary gland
What does the screeninf of TSH look for
Elevated TSH may mean hypothyroidism
What is hypothyroididm in adults
Myxedema
Tell me about myxedema
REPLACEMENT therapy, LIFELONG treatment, during PREGENACY (treat EARLY)
What is hypothyroidism in infacny
Congenital hypothroidism
Tell me about congenital hypothroidism
REPLACEMENT therapy
What is the clinical presentation of hypothryroidism in adults
PALE, PUFFY, COLD, DRY skin, CRITTLE hair, decreased HEART rate and TMEP, FATIGUE
What are some causes of hypothrtoidism in adults
Usally from a MALFUNCTION, HASIMOTOS’S disease, insufficient IODINE in diet, SURGICAL removal, insufficient secretion of TSH and TRH
What is Hashimoto’s disease
Chronic autoIMMUNE thyroiditis
What is a goiter
Englared thyroid from HYPOthyroidism
What are the two meds for hypothyroidism
Levothyroxine, liothyronine
What can hypothyroidism cause during pregnancy
Neuro issues in first trimester
What can hypothyroidism cause in infants
Mental retardation, decreased GROWTH
What are the two forms of hyperthyroidism
GRAVES disease and toxic nodular goiter (PLUMMERS’S disease)
What is graves diseases
Immune system ATTACKS the throid, most COMMON, WOMEN 20-40 years old, causes EXOPHTHALMOS (buldging, protruding eyeballs)
What is exophthalmos
Buldging, protruding eyeballs, HYPERthyroidism
What are the treatment options of hyperthroidism
SURGICAL removal of thyroid, DESTRUCTION, SUPPRESSION, BETA BLOCKERS, RADIOACTIVE iodine
What do beta blockers do for hyperthyroidism
Treats symtpoms not cause
What is a thyrotoxic crisis (thyroid storm)
Pts with thyrotoxicosis who undergo STRESS, excessive release of thyroid hormones
What are the signs of a thyroid storm
Hyperthermia (105 or higher), TECHYCARDIA, RESTLESSNESS, AGITATED, COMA
What are the treatments for a thyroid storm
METHIMAZOLE, BETA BLOCKER, SEDATION, COOLING, glucoCORTICOIDS, IV FLUIDS
