Thyroid Pathology Flashcards
What’s high in hypothyroidism
TSH
What’s high in hyperthyroidism
T3/T4
Most common cause of hypothyroidism
Autoimmune destruction of the thyroid (lymphocytic thyroiditis)
Severe, life-threatening hypothyroidism is known as
myxedema coma
Major feature of myxedema coma
Mental status changes
Management of myxedema coma
STEROIDS FIRST! then thyroid hormone
Replace _ for treatment of hypothyroidism
T4
How can thyroiditis cause hyperthyroidism
it damages the thyroid and releases the stored hormones
___ disease major cause of hyperthyroidism
Graves
thyroiditis thyroid hormone pattern
first hyper, then normal, then possibly hypo
Leakage of stored thyroid hormone causing
hyperthyroidism lasts _ weeks until stores are depleted
6-8
Hyperthyroidism of any kind causes these ocular symptoms
lid lag, retraction, stare
Graves disease in particular causes these three eye things
proptosis, diplopia, inflammatory changes
Normal radioiodine uptake is __%
15-35
Iodine uptake is high in __ and low in __
graves/hyperthyroidism, thyroiditis
The goal of radioactive thyroid is ___ and cannot be used in this pop
destroy the thyroid, pregnant lady
__ is the first line anti-thyroid drug but takes a little time to work and has strong side effects
Methimazole
Patients become what after thyroidectomy
hypothyroid
Thyroid Storm cause and major system
tissue exposure to high thyroid levels; mental status change and fever
Most common cause of goiter
iodine deficiency
The thyroid is a __ organ with __ being an important factor in exposure. There is an infinite __ period for disease
radiosensitive; age; latent
Chernobyl caused an increase in ___ cancer
papillary thyroid
