Case 6 - Thyroid disease Flashcards
1
Q
Common symptoms hyperthyroidism
A
- Palpitations
- Diarrhoea
- Weight loss
- Increased appetitie
- Sweating
- Heat intolerance
- Tremor
- Irritability
- Oligomenorrhoea/infetility
2
Q
Signs of hyperthyroidism
A
- Tachycardia
- Goitrie
- Warm, moist skin
- Tremor
- Palmar erythema
- Thin hair
- Lid lag
- Exopthalmos
3
Q
Blood etsts for hyperthyroidism
A
- T4/T3 high
- TSH low - negative feedback
4
Q
Treatment for hyperthyroidism options
A
- Beta blockers eg propranolol
- Titrate Carbimazole against TFTs and not supress TSH
- Block and replace - Carbimazole + Thyroxine
- Radioiodine
- Thyroidectomy
5
Q
Common signs hypothryoidism
A
BRADYCARDIC
* Bradycardia
* Reflexes relax slowly
* Ataxia
* Dry, thin hair
* Yawning/fatigue
* Cold hands
* Ascitaes +/- non pitting oedema
* Round puffy face/obesity
* Depression
* Immobile +/- ileis
* CCF
6
Q
Symptoms of hypothyroidism
A
- Weight gain
- Intolerance to cold
- Constipation
- Depression
- Menorrhagia
- Hoarse voice
7
Q
Blood test resuls for hypothryoidsm
A
- Thyroxine low
- TSH low in pituitary problem
- TSH high if thyroid problem
8
Q
Treatment for hypothyroidism
A
- Treat cause
- Levothyroxine
- Iodine replacement
- Stop offending medications
9
Q
Causes hypothyroidism - primary
A
- Hashimotos
- Iodine deficiency
- Post thyroidectomy/radio iodine treatment
- Drugs - amiodarone, antithyroid, lithium, iodine
- Subacute thyroidits
10
Q
Cause of secondary hypothyroidism
A
Not enough TSH - pituitary problem
11
Q
A
