Thyroid And Parathyroid Disorders Flashcards
Graves’ disease, also known as toxic diffuse goiter, causes
Hyperthyroidism
Atrial fibrillation is common in
Hyperthyroidism
Will manifest thyrotoxicosis, a goiter, exophthalmos, and pretibial myxedema
Graves’ disease
Autoimmune disorder in which antibodies are made and attach themselves to the TSH receptor sites on the thyroid
Graves’ disease
Patient may report eye problems, weight loss, increased appetite, and increase in BMs per day
Hyperthyroidism
Cardiac symptoms include tachycardia, a fib, increased systolic blood pressure, dysrhythmias
Hyperthyroidism
Ultrasonography can determine
Position, size, and functioning of thyroid gland
This patient needs an environment with little stimulation and comfort
Hyperthyroid
This can cause hemorrhage, respiratory distress, parathyroid injury, Hypercalcemia, tetany, damage to laryngeal nerves and thyroid storm
Thyroid surgery
Thyroid storm is triggered by what four stressors
Pregnancy
Infection
Trauma
Diabetic ketoacidosis
Hypothyroidism can be from not ingesting enough
Iodide and tyrosine
Worst case result of hypothyroidism before death is
Myxedema coma
Coarse features, edema around the eyes and face, blank expression, thick tongue, and slow movement indicates
Hypothyroidism
A patient with severe hypothyroidism and cardiac problems are started off on
The lowest dose of thyroid hormone replacement
There are three types of thyroiditis: acute, subacute, and chronic w what being the most common type
Chronic hashimotos disease
Hashimotos disease is an
Autoimmune disorder
The four distinct types of thyroid cancer are what? First manifestation is single painless lump or nodule
Papillary
Follicular
Medullary
Anaplastic
The parathyroid gland maintains
Calcium and phosphate balance
In hyperparathyroidism increased levels of parathyroid hormone act directly on the kidney causing
Increased renal reabsorption of calcium and increased phosphate excretion
Assess a patient for fractures, weight loss, arthritis, or psychological distress to check for
Hyperparathyroidism
If assessing for hyperparathyroidism ask the patient if they have had any radiation to the
Head or neck
High levels of PTH cause
Kidney stones and deposits of calcium in the soft tissue of kidney
Serum PTH, calcium, phosphate levels, and urine cyclic adenosine monophosphate are lab tests used to check for
Hyperparathyroidism
Hypercalcemia can be treated with
Diuretics and hydration therapy
What’s the most common form of hypoparathyroidism?
Iatrogenic caused by removal during surgery
This type of hypoparathyroidism may be spontaneous or autoimmune
Idiopathic
Management of this focuses on treating hypocalcemia, Hypomagnesemia, and vit d deficiency
Hypoparathyroidism