Thyroid disorders

Question 1

hypothyroidism

Answer 1

underachieve thyroid gland w/ deficient thyroid secretion

lower T4 levels

Question 2

what does hypothyroidism result in?

Answer 2

slowed metabolic processes, affecting body temperature, heartbeat and slowing body processes

Question 3

etiology of hypothyroidism

Answer 3

decreased thyroid-secreting hormone secreted by the hypothalamus or by the pituitary gland

atrophy of thyroid gland

chronic autoiune thyroiditis (Hashimoto’s disease)

overdose w/ antithyroid meds

Question 4

Hashimoto’s disease

Answer 4

hypothyroidism

Question 5

signs and symptoms of hypothyroidism

Answer 5

MOMS USE SICD

Myxedema (swelling of skin and soft tissue)
Obesity or weight gain
Memory loss
Slurred speech
Unable to breathe/dyspnes
Slowed GI motility
Excessive fatigue
Slowed HR
Increased BP
Cold intolerance
Delayed DTR's/Carpal tunnel

Question 6

Implications for PT w/ hypothyroidism

Answer 6

exercise intolerance w/ fatigue, weakness, myalgia and risk of rhabdo if excessive progression of exercise

after long-term med use: risk of pseudo gout, osteoporosis and afib

Question 7

hyperthyroidism

Answer 7

hyperactivity of the thyroid gland

Question 8

Grave’s disease

Answer 8

autoimmune disease w/ autoantibodies

hyperthyroidism

Question 9

Who is normally at risk for hypothyroidism

Answer 9

female 30-60y/o

Question 10

Symptoms of hyperthyroidism (Graves)

Answer 10

SHWEATING

Sweating
Hyperreflexia
Weight loss
Emotional lability
Appetite increased/ Afib
Tremor/tachycardia
Intolerance to heat/irregular menstruation/irritability
Nervousness
GI problems (diarrhea)

Question 11

what cardiac symptoms can hyperthyroidism produce?

Answer 11

Afib
CHF
MI

Question 12

who is more at risk for hyperthyroidism

Answer 12

female, 20-40y/o

Question 13

implications for PT w/ hyperthyroidism

Answer 13

excessive intolerance and reduced exercise capacity

thyrotoxicosis can aggravate preexisting heart disease

Question 14

hyperparathyroidism

Answer 14

increase secretion of parathyroid hormone

Question 15

what does hyperparathyroidism lead to?

Answer 15

hypercalcemia and hyperphosphatemia (in blood/urine(

Question 16

what doe hyperparathyroidism result in?

Answer 16

MSK, kidney, GI and CNS impairments

Question 17

who is more at risk for hyperparathyroidism?

Answer 17

females > 60 y/o

Question 18

Signs and symptoms of hyperparathyroidism

Answer 18

Stones, bones, groans, moans and psychiatric

Kidney stones (renal calculi)/Kidney failure

Bone decalcification-pain/patho fx

Weakness/fatigue, hyper mobility

Peptic ulcers, pancreatitis

Memory, depression, personality changes

Question 19

Implications for PT hyperparathyroidism

Answer 19

bone pain

appropriate WB 2nd to fx

care w/ jt mobilization

proper hydration and monitor for fatigue

Question 20

hypoparathyroidism

Answer 20

decreased secretion of parathyroid hormone

Question 21

what does changes does hypoparathyroidism bring on?

Answer 21

hypocalcemia and hypophosphatemia

pronounced neuromuscular, CNS and cardiac impairments

Question 22

signs and symptoms of hypoparathyroidism

Answer 22

Milk Carpools Facing Candy Stores

Mucle weakness, pain and tetany
Carpal spasm (Trousseau sign)
Facial spasm (Chvostek sign)
Cardiac arrhythmias
Seizures

Question 23

Implications for PT w/ hypoparathyroidism

Answer 23

acute: life threatening, immediate care
chronic: hyperventilation may worsen tetany- BREATHE

Monitor vital signs for cardiac symptoms