Thyroid Disease

Question 1

What are some signs and symptoms of hyperthyroidism?

Answer 1

Warm and moist skin

Tachycardia and A fib

Increased BVP and heart failure risk

Tremor and hyperreflexia

Excess sweating

Weight loss

Palpitations

Irritable, manic or anxious behaviour

Question 2

What TSH and T3 levels are seen in primary and secondary hyperthyroidism?

Answer 2

Primary
- Low / undetectable TSH
- Elevated T3 level

Secondary
- raised TSH
- raised T3

Question 3

What TSH and T4 levels are seen in primary and secondary hypothyroidism

Answer 3

Primary
- High TSH
- Low T4

Secondary
- low TSH
- low T4

Question 4

Give some signs / symptoms of hypothyroidism?

Answer 4

Bradycardia

Confusion

Delayed reflexes

Dry skin

Tired

Cold intolerance, weight gain

Angina

Slow and poor memory

Hair loss

Question 5

What are dental aspects of thyroid disease?

Answer 5

Goitre can present and be detectable to dentist
- enlarged thyroid gland
- iodine deficiency or can be drug related

Avoid sedatives in severe hypothyroidism as severe respiratory depression can occur

Hyperthyroid patients can present with
- pain, anxiety and psychiatric issues
- caution for treatment until controlled