TIREOIDE Flashcards

1
Q

HIPOT SUB

A

TSH AUM

SEM SINTOMAS

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2
Q

QDO TRATA HIPO SUBCLINICO

A

DEPENDE DO TSH
SE >10 = SEMPRE
5 - 10 SE DCV\DM\HAS\DLP\PRESENÇA DE AC + ATPO +GESTANTE

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3
Q

SD EUTIREOIDEO DOENTE

A

DÇSIST GRAVE

CAI O T3 DEPOIS RECUPERA

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4
Q

HIPOT NA GESTAÇÃO

A
ABORTO/PARTO PREMATURO/HIPERTENSAO/HEMORRAGIA POS PARTO
NECESSITA DOSES MAIS ALTAS DE L TIROXINA
1 - 0,1-2,5
2 - 0,2-0,3
3- 0,3-3,0
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5
Q

COMA MIXEDEMATOSO (ALT NIVEL DE CONSCIENCIA + HIPOTERMIA+EVENTOPRECIPITANTE) TTO

A

ABSORÇÃO MTO PREJUDICADA INTESTINAL POR ISSO DOSE ALTA DE L TIROXINA
HIDROCORTISONA -> EVITA A CRISE DE ADRENAL

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6
Q

NODULO EM TIREOIDE + TSH BAIXO

A

CINTILO SE FOR NODULO QUENTE NAO TEM POTENCIAL MALIGNO

NODULO COM TSH N OU ALTO VAI PAAF DE ACORDO COM O TIRADS

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7
Q

TIRADS 1 E 2

A

NAO FAZ PAAF

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8
Q

TIRADS 3,4,5

A

> 2,5 FAZ PAAF
1,0 FAZ PAAF
1,0 FAZ PAAF

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9
Q

BETHESDA 1

A

EXAME MAL FEITO

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10
Q

BETHESDA 2

A

BENIGNO

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11
Q

BETHESDA 3

A

B OU M? NOVA PAAF EM 6 MESES

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12
Q

BETHESDA 4,5,6

A

MTO PROVAVELMENTE É CA

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13
Q

PAPILIFERO

A

LINFATICO
INDOLENTE
TIREOGLOBULINA X
TTO: TIREOIDEC TOTAL + DOSE DE IODO ABLATIVO

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14
Q

FOLICULAR

A

HEMATOGENICO
AGRESSIVO
TIREOGLOBUÇINA X
TTO: TIREOIDEC TOTAL + DOSE DE IODO RADIOATIVO

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15
Q

CA MEDULAR

A

80% AO ACASO E 20% ASSOC COM NEM 2 A E NEM 2 B
AGRESSIVO/MULTIFOCAL/BILATERAL
LINFO-HEMATOGENICA
NÃO RESPONDE A IODO
CALCITONINA X
TIREOIDEC + ESVAZIAMENTO GANGLIONAR CENTRAL

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16
Q

ASSOCIAÇÃO DO LINFOMA PRIMARIO DE TIREOIDE

A

ASSOCIADO A TIREOIDITE DE HASHIMOTO

17
Q

ANAPLASICO

A

RARO/PROGNOSTICO RUIM/TTO PALIATIVO

18
Q

HURTLE

A

MTO AGRESSIVO

19
Q

TIREOIDITE DE QUERVAIN

A

APOS SINTOMAS DE IVAS DOR CERVICAL - CINTILO COM CAPTAÇAO DE IODO AUSENTE.

20
Q

TIREOIDITE DE RIEDEL

A

TIREOIDE DURA

21
Q

GRAVES NA CINTILO

A

CAPTA MTO IODO NA CINTILO, GLANDULA AUMENTADA

22
Q

DOENÇA DE PULMMER NA CINTILO

A

NÓDULO HIPERCAPTANTE

23
Q

TIREOIDITE APOS AMIODARONA TIPO 1

A

SURGE 3-5 MESES

FAZ HIPOTIREOIDISMO

24
Q

TIREOIDITE APOS AMIODARONA TIPO 2

A

SURGE 30 MESES

FAZ HIPERTIREOIDISMO

25
Q

NEM 2 A

A

FEOCROMO
CA MEDULAR DE TIREOIDE
HIPERPARA

26
Q

NEM 2 B

A

CA MEDULAR DE TIREOIDE

FEOCROMO

27
Q

MANOBRA DE PEMBERTON

A

ELEVA OS BRAÇOS E A CARA FICA VERMELHA