hyperthyroidism Flashcards
(17 cards)
what is the pattern for hyperthyroidism
high T3/T4 and low TSH
what is the pattern for subclinical hyperthyroidism
normal T3/T4 and low TSH
WHAT IS NORMAL T3/T4 and TSH
12-22 for T4 and 3.1-3.6 T3
TSH 0.4-4
what is the most common cause of primary hyperthyroidism
graves disease
what is the secondly most lively cause
toxic multi nodular goitre
what are other cause of primary hyper t
toxic adenoma
what are secondary causes
pituitary adenoma secreting TSH
thyriodtoxicosis
amiodrone induces
excess levothyroxine
how does graves disease happen
antibodies distory the thyroid gland test for TSH receptor antibodies and thyroid peroxidase antibodies
signs of graves disease
goitre skin chnages eye symptoms finger clubbing weightless
multi nodular goitre treatment
radioactive iodine thyroidectomy
TREATMENTS for hyperthyroidism
symptom control beta blocker
contraindication of asthma
give carbimazole first line propylthiouracil if some is pregnant
subacute thyroiditis
younger patients <50 years following a viral trigger like enterovirus or coxsackie prints as thyriodtoxicosis then turns to hyperthyroidism sometimes give stereos and NSAIDS
what is a common side effect of carbimazole
rash
what is another side effect of hyperthyroidism drugs
agranulocytosis neutropenia stop medications
if drugs don’t work?
radio active iodine don’t use in eye disease
what do u give for eyes disease
steriods
funny results think pituitary tumor what to give
hydrocortisone then levothyroxine
