Tiroides Flashcards

1
Q

causas mas frecuente de hipotiroidismo

A

deficiencia de yodo, enfermedad autoinmunes (Hashimoto), iatrogenia (tiroidectomia, radioyodoterapia)

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2
Q

hipotiroidismo primario

A

afectación glandular

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3
Q

Hipotiroidismo secundario

A

afectación hipofisiaria

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4
Q

Hipotiroidismo central

A

afectación hipotalámica

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5
Q

Causa mas común de hipotiroidismo primario

A

tiroiditis autoinmune crónica (enfermedad de Hashimoto)

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6
Q

Manifesataciones metabolicas del hipotiroidismo

A
  • Fatiga
  • into-lerancia al frio
  • Disnea
  • Ganancia de peso
  • Disfuncion cognitiva
  • Constipación
  • Bradicardia
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7
Q

Manifestaciones de acumulación de glucosaminoglicanos por hipotiroidismo

A

-Piel seca
- Ronquera, disfonia
- Mixedema (edema duro)

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8
Q

Manifestaciones cutáneas del hipotirodismo

A

piel engrosada y seca
Uñas partidas
Pelo debil

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9
Q

Manifestaciones hematologicas del hipertiroidismo

A
  • Sindrome de von willebrand tipo 1
  • ## Anemia (normocitica, normocromica, hipoproliferativa)
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10
Q

Hormonas en hipotiroidismo subclinico

A

TSH aumentada y T4 normal

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11
Q

Hormonas en hipotiroidismo clinico

A

TSH aumentada y T4 disminuida

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12
Q

Hormonas en hipotiroidismo secundario o central

A

TSH disminuida y T4 disminuida

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13
Q

Cuando considerar disminuir la dosis de levotiroxina

A

Disminucion del 10% del peso
Terapia con androgenos
Enfermedad renal cronica

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14
Q

Afectaciones mentales causadas por hipotiroidismo

A

Depresión mayor
Trastorno afectivo bipolar
Ansiedad
Esquizofrenia

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