TIROIDITIS Flashcards

1
Q

Etiología de la Tiroiditis Subaguda de Quervain

A

Viral

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2
Q
  • Pródromos virales (Febril, síntomas respiratorios)
  • Bocio doloroso
  • Trifase (Hipertiroidismo, luego Hipotiroidismo, luego normal)

Pensamos en:

A

Tiroiditis Subaguda de Quervain

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3
Q
  • VSG / PCR Elevados
  • Anticuerpos tiroideos (-)

Laboratorio de:

A

Tiroiditis Subaguda de Quervain

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4
Q

Tratamiento sintomático de Tiroiditis Subaguda de Quervain

A

AINES +- Glucocorticoides (Prednisona) si no mejora

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5
Q

En la fase Hipertiroidea de la Tiroiditis Subaguda de Quervain, que daría como tratamiento definitivo:

A

Solo BB, no antitiroideos

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6
Q
  • Autoinmune
  • Anticuerpos TPO
  • Bocio no doloroso
  • Hipotiroidismo

Pensamos en:

A

Tiroiditis de Hashimoto

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7
Q
  • VSG / PCR (-)
  • Anticuerpos tiroideos elevados

Laboratorio de:

A

Tiroiditis de Hashimoto

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8
Q

En fases avanzadas de Tiroiditis de Hashimoto, encontramos:

A

Atrofia Tiroidea

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9
Q

Tratamiento de Tiroiditis de Hashimoto

A

Levotiroxina

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10
Q
  • POSPARTO
  • Trifase
  • Bocio no doloroso
  • Anticuerpo TPO ligeramente elevado
A

Tiroiditis silente

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11
Q
  • Etiología bacteriana
  • Absceso tiroideo

Pensamos en:
Tratamiento

A
  • Tiroiditis aguda
  • ATB + Drenaje
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12
Q
  • Tiroides fibrótica pétrea (Duro)
  • Parece cáncer pero no lo es

Pensamos en:
Tratamiento:

A
  • Tiroiditis de Riedel
  • Cirugía
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13
Q
  • Paciente críticamente enfermo
  • No tiene patología tiroidea previa
  • TSH normal
  • T4 normal
  • T3 baja
  • T3R elevada

Pensamos en:
Tratamiento:

A
  • Eutiroideo enfermo
  • Seguimiento
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