Thyroid disorders Flashcards
THyrotopin alpha is a recombinant form of what?
TSH
Most commonly used drug for hyperthyroidism
Carbimazole
Symptoms of hyperthyroidism
weight loss, heat intolerance, diarrhoea, tacycardia, tremor, sweating, arrhythmias
Laboratory test sign of hyperthroidism
HIGH T4 + T3
LOW TSH
What must patients be counselled on whilst taking carbimazole
Blood dyscrasias - reporting sore throat, fever, malaise
What is the treatment regime for a thyroid storm (thyrotoxic crisis)
emergency treatment with IV fluids, propanolol, hydrocortisone, oral iodine + carbimazole/propylthiouracil
What is the drug of choice to treat hyperthyroidism in pregnancy?
Propylthiouracil for the first trimester - carbimazole is associated with congenital affects but can be switched to in the second trimester)
Acute pancreatitis is associated with what hyperthyoidism medication?
Carbimazole
Females of child bearing potential on carbimazole should also be prescribed what?
Contraception
Severe hepatic reactions have been associated wiht what thyroid medication?
Propylthiouracil
What should patients on propylthiouracil be counselled on?
Reporting liver failure sx e.g. jaundice, dark urine, pale stools, pruiritus
treatment choice for hypothyriodism
Levothyroxiine
Whast should patients be prescribed 10-14 days beofre a partial thyroidectomy?
Iodine
Symptoms of hypothyriodism
Cold intolerance, weight gain, contipation, bradycardia, letharg, muscle cramps, slow thoughts, thin hair
Laboratory markers of hypothyroidism
LOW T3 + T4
HIGH TSH
