Endocrine pt 1 Tuesday highlights Flashcards
(25 cards)
In Primary hypERthyroid disease T3/T4 will be _______ and TSH will be _______
high; low
Primary hypOthyroid disease T3/T4 will be ________ and TSH will be _______
low; high
In central hypERthyroid pituitary disease, TSH will be ________and T3/T4 will be ______
high; high
In central hypOthyroid disease, TSH will be ______ and T3/T4 will be ________
low; low
Hyperthyroid: What areas can it affect?
1) Heart
2) Gut
3) Brain
4) Bone
5) Temp
6) Metabolism
7) Nerves
T/F: Hyperthyroidism and hypothyroidism have opposite symptoms
True
Thyroid Storm & thyroiditis are kinda related to what?
Hyperthyroidism
_____________ edema is a sign of Grave’s on an exam
Nonpitting
List 5 ways to Tx Grave’s
1) Radioactive iodine can be used
2) Thioamides (Methimazole or propylthiouracil (PTU))
3) Beta blockers
4) Steroids
5) Iodine
What Tx for Grave’s is teratogenic in the 1st trimester?
Methimazole
Heart failure (high output) may occur with what thyroid issue?
Thyroid storm
Thyroiditis is linked to what?
Both hypothyroid and hyperthyroid
What is the first line Tx for Hashimoto’s?
Levothyroxine
When do you need to increase levothyroxine doses for Hashimoto’s?
During pregnancy
Hashimoto’s Tx:
What are the levothyroxine doses for:
1) Kids
2) Adults
3) Elderly
1) 4mcg / kg / day (highest in kids)
2) 1.6mcg/ kg/ day
3) 1 mcg/ kg/ day
Usual starting dose of levothyroxine for Hashimoto’s is ________ in adults and ________ in elderly patients
50mcg; 25mcg
W. Hashimoto’s, patients should always be familiar with “their brand or generic”- if the manufacturer is changed- it can affect ____________ and _________
absorption and lab values
Subclinical hypothyroid: You can definitely give levothyroxine if the TSH is ________ or higher
10mU/L
Silent (lymphocytic) / Postpartum returns to euthyroid when?
in 12-18 months
What should you do for Silent (lymphocytic) / Postpartum?
No thyroid meds, just watch
Name a condition that involves a painful thyroid gland
Subacute / Dequervain Thyroiditis (also called granulomatous)
Subacute / Dequervain Thyroiditis (also called granulomatous): What are 2 things you see on labs?
Primary hyperthyroid profile early in the disease may shift to euthyroid profile hypothyroid profile
Normal thyroid antibodies
Pt may be hypothyroid; Usually lasts 12-18 months
Most common cause in the U.S. of hypothyroidism is?
Hashimoto’s
2-6 weeks of hyperthyroidism followed by permanent hypothyroidism describes what?
Hashimoto’s
