Thyroid Disease Flashcards
(15 cards)
What is the thyroid hormone made up of?
thyroxine + triiodothyronine
Thyroid hormone influences ___ maturation, cell ___ and ___ expenditure.
tissue; respiration; energy
What is the feedback mechanism mediated by?
hypothalamic-pituitary-thyroid axis
metabolic demand increase or decreases feedback
How is Thyroid Disease diagnosed?
- Clinical history
- Lab tests
- Radioactive iodine uptake (function)
- T3 and T4 serum concentration
- TSH serum concentration
What disease category includes the following:
- Thyrotoxicosis
- Graves’ disease (most common)
- Autoimmune - Excess T3 and T4 in the blood
- Anxiety, fatigue, rapid HR, heat intolerance, weight loss, exopthalmous
HYPERthyroidism
How is HYPERthyroidism managed?
Goal = euthyroid
- Antithyroid agents (Propylthiouracil, 18 months)
- Radioactive iodine
- Surgery
___ ___ is a rare, serious complication of untreated hyperthyroidism.
Thyrotoxic crisis
Restlessness, N/V, abdominal pain
Sweating, tachycardia, cardiac arrhythmias, heart failure
Hypotension, death
What disease category includes the following:
Inadequate amount of T3 and T4
Slow physical/mental activity, sensitivity to cold, weight gain
HYPOthyroidism
How is HYPOthyroidism managed?
synthetic preparations of LT4 (levothyroxine) or LT3 (liothyronine)
___ ___ presents with severe myxedema, bradycardia, and severe hypotension.
HYPOthryoid coma
It has a high mortality rate
T/F. Well controlled thyroid disease can receive any routine dental treatment.
True.
What should be done when managing acute infection or if you anticipate significant surgical stress?
physician consult
T/F. Untreated/Uncontrolled thyroid patients can receive elective care.
False, there should be NO elective care and infections should be treated in conjunction with a physician.
Potential problems with HYPERthyroidism includes adverse interaction with ___; complications secondary to underlying ___ problems; and ___ and infection/wound healing issues.
epinephrine; CV; Propylthiouracil
It is better to give an Untreated HYPOthyroidism patient sedatives and narcotic analgesics.
False, they have an exaggerated response to CNS depressants, like sedatives and narcotic analgesics.
