Other endocrine conditions workshop W5

Question 1

Common symptoms of hypothyroidism

Answer 1

• fatigue
• Depression
• Brian fog
• Sleepiness or excessive sleep
• Cold intolerance
• Weight gain
• Dry skin
• Hair thinning
• Brittle nails
• Constipation
• Irregular periods
• Infertility
• Low libido
• Hoarseness
• Muscle cramps or weakness
• Join stiffness or pain

Question 2

Signs of hypothyroidism

Answer 2

• Bradycardia
• Cool or pale skin
• Puffy or swelling eyes

Question 3

Lab findings of hypothyroidism

Answer 3

• High TSH and low FT4
• High cholesterol
• Anemia

Question 4

Common symptoms of hyperthyroidism

Answer 4

• anxiety
• Insomnia
• Tremors
• Irritability
• Difficulty concentrating
• Heat intolerance
• Weight loss
• Sweating
• Palpitations
• Increased BP
• Frequent bowel movements
• Irregular or light periods
• Hair thinning
• Warm skin
• Itching

Question 5

Signs of hyperthyroidism

Answer 5

• tachycardia
• Tremor
• Weight loss
• Bulging eyes
• Raised lesions on the skin

Question 6

Lab findings of hyperthyroidism

Answer 6

• low TSH
• High FT4

Question 7

Treatment of hypo

Answer 7

• levothyroxine - replaces missing hormone
• 1.6mcg/kg/day
• Repeat TSH and FT4 6-8 weeks after starting or adjusting the dose
• On empty stomach
• Avoid taking with antacids or Ca
• Fearful monitoring if pregnant as thyroid hormoes are essential for fetal development

Question 8

Treatment of hyper

Answer 8

• anti thyroid meds - methimazole/carbimazole at 10-30mg daily - inhibit thyroid hormone production
• Beta blockers - propranolol to control symptoms
• Radioactive iodine therapy - long term treatment