Thyrotoxicosis Flashcards

1
Q

thyrotoxicosis

A

elevated thyroid hormone

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2
Q

causes

A

graves disease
first stage of sub-acute thyroiditis
toxic multi nodular goitre
amiadorone

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3
Q

signs

A
weight loss
arryhthmia
goitre
light periods
anxiety
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4
Q

investigations + results

A

thyroid function tests

TSH low, T4 + 3 up

radioactive iodine uptake test

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5
Q

management

A

carbimazole
thyroidectomy
beta blockers

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6
Q

what is a side effect of radio active iodine

A

hypothyroid

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7
Q

signs of graves

A

thyrotoxicotisis
eye issues - exophthalmos
waxy lesions on shins - pretibial myxoedema

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8
Q

what antibodies are picked up in graves disease

A

TSH receptor stimulating antibodies

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9
Q

management of graves

A

carbimazole
propanol
radioiodine treatment

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10
Q

complication of carbimazole

A

agranulocytosis

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11
Q

toxic multi nodular goitre

A

tender goitre
hot nodule

reveals a patchy uptake

management:
radioactive iodine

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12
Q

what is a complication of thyrotoxicotisis, the signs and management

A

thyroid storm

signs:
fever
confusion
tachycardia
nausea + vomiting
management:
paracetamol
beta blockers
anti-thyroid drugs
supportive treatment
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