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Integratietoets jaar 2 > Hyperthyreoidie > Flashcards

Hyperthyreoidie Flashcards

(6 cards)

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1
Q

klachten?

A

warmte intolerantie, hartkloppingen, gewichtsverlies, tremor, angst, diarree, dyspnoe, AF, struma en exopthalmopathie

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2
Q

oorzaken?

A

Graves, toxisch adenoom, multinodulair struma, thyreoiditis, jodium-geinduceerd of exogene oorzaak

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3
Q

wat zie je bij bloedonderzoek?

A

verhoogd FT4

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4
Q

wat is Graves?

A

auto-immuunziekte met TSH stimulerende auto-antistoffen waardoor hoog FT4 maar laag TSH.

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5
Q

behandeling?

A

thyreostatica: strumazol (thiamazol) of PTU. deze remmen werking van TPO. symptomatisch kan je ook beta-blokkers geven en kaliumjodide.
bij toxisch adenoom of multinodulair struma behandel je door radioactief jodium of door thyreoidectomie.
thyreoiditis alleen symptomatisch behandelen

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6
Q

AV?

A

TSH bepalen en indien afwijkend ook FT4. ook TSH-R en BSE en leuko’s. bij vermoeden struma echo.

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Integratietoets jaar 2 (84 decks)

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