Tutorial 4 - Thyroid disorders Flashcards

1
Q

What are the clinical features that support a diagnosis of hyperthyroidism?

A
Palpitations,
Weight loss,
Sweating,
Swelling in neck,
Tremor,
Tachycardia,
Thyroid gland moves when swallowing,
Family history (autoimmune)
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2
Q

What are the causes of hyperthyroidism?

A
Autoimmune
Graves' disease
Cancer of thyroid
Plumer's disease, 
Viral thyroiditis
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3
Q

How do you test for thyroid function in hyperthyroidism and what would the test results show?

A

Blood test for thyroid function.

TSH - none as pituitary senses too much T3 and T4.
T3 and T4 - Very high

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4
Q

What are the clinical features to support a diagnosis of hypothyroidism?

A
Constipation,
Cold,
Weight gain,
Longer period cycle (causes heavier periods)
Cant concentrate,
Increased BMI,
Low pulse.
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5
Q

How would you test for hypothyroidism and what would the results show?

A

Blood test for thyroid function.

TSH - high (as pituitary senses no T3 and T4)
T3 and T4 - very low.

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