14. Thyreoiditis de Quervain Flashcards by Ian Paglione

Q

(Thyreoiditis de Quervain)

Definition

A

subakut granulomatöse Schilddrüsenentzündung

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Q

(Thyreoiditis de Quervain)

Ätiologie

A

unklar

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Q

(Thyreoiditis de Quervain)

Epidemiologie

A

Häufigkeitsgipfel im 30.-50. Lj.

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Q

(Thyreoiditis de Quervain)

Trigger

A

virale Atemwegsinfektionen

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Q

(Thyreoiditis de Quervain)

Phasen (2)

A

Frühphase
Spätphase

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Q

(Thyreoiditis de Quervain)

Frühphase: Charakteristik

A

Hyperthyreose

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Q

(Thyreoiditis de Quervain)

Spätphase

A

Hypo- o. Euthyreose

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Q

(Thyreoiditis de Quervain)

Differenzialdiagnosen (3)

A

FUU
akute eitrige Thyreoiditis
Schilddrüsenkarzinom

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Q

(Thyreoiditis de Quervain)

Prognose

A

Spontanheilungsrate von ca. 80%

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Q

(Thyreoiditis de Quervain)

Leitsymptome (3)

A

Fieber
Abgeschlagenheit
einseitige Halsschmerzen

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Q

(Thyreoiditis de Quervain)

Halsschmerzen: Ausstrahlung

A

bis zum Kiefer und Ohr

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Q

(Thyreoiditis de Quervain)

Befund

A

druckschmerzhafte geschwollene Schilddrüse

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Q

(Thyreoiditis de Quervain)

Laborbefund

A

BSG massiv ↑
CRP ↑ bei normaler Leukozytenzahl

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Q

(Thyreoiditis de Quervain)

Bildgebung der Wahl

A

Schilddrüsen-Sonografie

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Q

(Thyreoiditis de Quervain)

sonografischer Befund

A

echoarm mit teils landkartenähnlich konfluierenden Arealen

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Q

(Thyreoiditis de Quervain)

Therapieplanung

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A

symptomatische-
kausale-

Q

(Thyreoiditis de Quervain)

symptomatische Therapie der Wahl (3)

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A

NSAR + Glococorticoide + ggf. Propranolol

Q

(Thyreoiditis de Quervain)

Propranolol: Indikation

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A

bei schwerer Hyperthyreose

Q

(Thyreoiditis de Quervain)

kausale Therapie der Wahl

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A

L-Thyroxin

Q

(Thyreoiditis de Quervain)

L-Thyroxin: Indikation

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A

bei Hypothyreose

Q

(Thyreoiditis de Quervain)

kontraindizierte Wirkstoffe

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A

Thyreostatika