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ACR 2: Fatigue > Hyperthyroidism > Flashcards

Flashcards in Hyperthyroidism Deck (13)
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1

Hyperthyroidism is __TSH and ___ T4

Low TSH
HIGH T4

2

What are some s/s of hyperthyroidism

Palpitations
tachy
fatigue
↑ appetite
wt loss
insomnia
agitation
heat intolerance
exophthalmos
goiter,
anxiety
tremor
AFib
menorrhagia
brittle hair
hyperreflexia

3

What are some complications of a thyroid storm?

Eye changes
Afib
osteoporosis
thyroid storm

4

What are s/s of thyroid storm

racing heart
sweating
confusion
agitation

5

What are DDx of hyperthyroidism?

Grave’s
Toxic multinodular goiter
Hashimoto thyroiditis
TSH-secreting Pituitary Adenoma

6

What are some labs you would order for hyperthyroidism?

TSH
CBC
CMP
Liver panel

Test for hashimotos:
Thyroid-Stimulating immunoglobulin (TSI): elevated
TII: elevated

7

What would a thyroid RAIU scan show?

Graves dz (whole thyroid lights up)

Hydroiditis (areas of thyroid light up)

8

How do you treat hyperthyroidism?

Methimazole (longer duration of action w/ fewer ADR)

Propylthiouracil

Radioactive iodine ablation [RAIA]

Surgery (last line): Thyroidectomy

9

What are ADRs of Methimazole and Propylthiouracil

↑LFTs, agranulocytosis, rash

10

What tx should a pregnant women be given to treat hyperthyroidism?

Propylthiouracil
consider RAIA or surgery 6 mo. prior.

11

what are adjunct therapies for hyperthyroidism?

B-blocker: Propranolol (for sxs and can help ↓ peripheral conversion of T3/4)

BZD: for anxiety

12

when should you f/u with a pt with hyperthyroidism?

4-6 wks for medication
4-6 wks for radioactive tx, 4- 6 wk intervals for 6 months
6-8 week post surgery

13

What are pt education tips you may give a pt with hyperthyroidism?

inform Dr. If pregnant
may take awhile to improve
exophthalmos may not improve