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SU18: Internal med final > Thyroid Disease > Flashcards

Thyroid Disease Flashcards

1
Q

thyroid fxn

A
  • regulate metabolism or the way the body uses energy

- regulated by feedback loop

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2
Q

what influences thyroid fxn?

A

thyroid hormone (thyroxine + triiodothyronine)

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3
Q

secretion of thyroid hormone feedback mechanism is mediated by

A

hypothalamic-pituitary-thyroid axis

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4
Q

what increases or decreases the feedback of thyroid hormone secretion?

A

metabolic demand

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5
Q

hyperthyroidism

A

excess T3 and T4 in blood

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6
Q

hyperthyroidism can cause what?

A

thyrotoxicosis

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7
Q

what is the most common effect of thyrotoxicosis?

A

Graves’ disease

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8
Q

syms of hyperthyrodism

A
  • anxiety
  • fatigue
  • rapid HR
  • heat intolerance
  • weight loss
  • exopthalmous
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9
Q

goal of med management of thyroid disease

A

euthyroid state

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10
Q

med management of hyperthyroidism

A
  • antithyroid agents
  • radioactive iodine
  • surgery
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11
Q

antithyroid agents to manage hyperthyroidism

A

propylthiouracil, 18 months

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12
Q

radioactive iodine

A

destroys thyroid w/o physically removing it

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13
Q

hypothyroidism

A

inadequate amt of T3 and T4

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14
Q

syms of hypothyroidism

A
  • slow physical/mental activity
  • sensitivity to cold
  • weight gain
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15
Q

med management of hypothyroidism

A

thyroid hormone replacement

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16
Q

drug to manage hypothyroidism

A

levothyroxine - synthetic T4

17
Q

T/F: txtment reverses all clinical manifestations of hypothyroidism

A

TRUE

18
Q

dental management of well-controlled thyroid disease

A
  • any routine dental txtment okay

- consult doc for assistance in management of acute infection or in anticipation of significant surgical stress

19
Q

how can physicians assist you in management of acute infection or in anticipation of significant surgical stress?

A

increase metabolic demand

20
Q

T/F: potential probs in dentistry are related to untreated thyroid disease

A

true

21
Q

can you treat pt with untreated thyroid disease?

A

no elective care, must be medically optimized

SU18: Internal med final (25 decks)

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