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Endo 2 Final Clinical > Thyroid > Flashcards

Flashcards in Thyroid Deck (12)
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1
Q

If TSH is increased and T4 is decreased, what are we thinking?

A

Primary hypo

2
Q

If TSH is down and T4 is up, what are we thinking?

A

Primary hyper

3
Q

Both TSH and T4 up? Both TSH and T4 down?

A

TSH producing tumor

Pituitary failure

4
Q

What symptom of graves will not usually get better because of treatment?

A

Exophthalmos

5
Q

What will the thyroid scan show for graves?

A

Diffuse uptake

6
Q

If TSH is low with with a big nodule, what scan should we do? If the TSH is high what scan should we do?

A

Thyroid scan to see if it is producing hormone. Need to find out what is suppressing TSH.
If TSH is not suppressed, need to see if nodule is cold.

7
Q

What is a symptom that supports a benign diagnosis?

A

Tenderness

8
Q

When TSH is high and thyroid hormone is high, what are we thinking?

A

Pituitary source of continuous TSH.

9
Q

What is the serious complication of hyper and hypo?

A

Thyrotoxicosis

Myxedema

10
Q

What are the two phases of hashimotos?

A

Hyper and then hypo due to burn out

11
Q

5 conditions that can cause low thyroid function?

A

Hashimotos, viral thyroiditis, painless thyroiditis, subacute thyroiditis, and prior exposure to radiation.

12
Q

Two most common causes of hypo?

A

Auto immune and prior therapy for hyper