Thyroid Disorders Flashcards
What are common risk factors for thyroid disorders
3
fam history
other autoimmune issues
past thyroid issues
Is routine thyroid testing recommended in asymptomatic people
no
What is TSH
produced by pituitary gland- signals thyroid to produce thyroid hormones (T3,T3)
Compare for hyper and hypo thyroid
mood
weight
skin
HR
temp tolerance
sweat levels
Hyper:
anxious
weight loss
hair loss
tachy/palpitations
heat intolerance
increased sweating
Hypo:
depressed
weight gain
dry skin
low HR
cold intolerance
decreased sweating
What is free T4
form of thyroxine (thyroid hormone)
What is total T4
includes both bound and free T4 (thyroxine)
What is free T3
active form of triiodothyronine (thyroid hormone)
total T3 is bound and free triiodothyronine
What are microsomal antibodies for thyroid
Antithyroid Peroxidase Antibodies (TPOAb) and Antithyroglobulin Antibodies (TgAb)
used to test for autoimmune thyroid disorders like Hashimotos and graves
Fill in table
What is the first line treatment of hypothyroidism
Levothyroxine 25-50 MCG/day
What impact does smoking have on thyroid disorders
can exacerbate autoimmune thyroid disorders
What is the significance of a goiter
indicates thyroid dysfunction
What is the significance of a goiter with hoarse voice
compression of vocal cords
How soon do you repeat TSH after dose change
6-8 weeks
How do you monitor thyroid in someone on replacement therapy
TSH yearly if stable
