Thyroid disorders

Question 1

Thyroid disorders

Answer 1

Hypothyroidism: very common especially in aging women

Thyroid nodules: palpable in 4% of adults

Hyperthyroidism: 1/100 women

Question 2

Graves disease

Answer 2

Thyromegaly and hyperthyroidism
Ophthalmopathy, orbitopathy
dermopathy

graves disease is the result of an autoimmune response which activates TSH receptor on thyroid follicle cells resulting in excess thyroid hormone production

Question 3

Graves ophthalmopathy

Answer 3

inflammatory response and its sequalae push the eye forward
Generally associated with hyperthyroidism (can occur rarly with hypo or normal (eu))

eye stuff can be laterally induced

eye stuff worsens with smoking

Question 4

Graves dermopathy

Answer 4

seen often when patient has eye involvement
production of mucopolysaccharides by chodrocities

plumbers nail (onycholysis)

vitiligo

premature graying of hair

Question 5

Diagnosis of hyperthyroidism

Answer 5

supressed TSH
high T4 and T3

can treat with radioactive iodine, thionamides, surgery, beta blocker for symtom relief