Thyroid Disorder Flashcards Preview

Adult Health > Thyroid Disorder > Flashcards

Flashcards in Thyroid Disorder Deck (23):
1

Graves Patients- Who to refer to?

ALL need ophthalmologist

2

S and S of Hyperthyroidism

Bruit, nodules, ANS hyperactivity, new A.Fib, dermopathy, skin, hair (velvet), exopthalamos, lid lag, pretrial myxedema, adenopathy, quick DTR, pelvic exam (pregnancy)

3

Medications that Cause Hyperthryoidism

Lithium, steroids, pregnancy, HCG, estrogens, amiodarone, phenytoin

4

Plummer's Disease

Toxic Multinodular Goiter

5

Labs- Increased TSH, T4, and Uptake on radio iodine test

Pituitary tumor

6

Labs- Decreased TSH, increased T4, Increased uptake of I

Graves, Plummers, Adenoma

7

Labs- Normal T4, undetectable TSH

Subclinical Hyperthyroidism

8

Labs- Decreased TSH, Increased T4, decreased uptake of I

Thryoiditis- pregnancy, postpartum, silent, and viral

9

Treatment for Ssmptoms of hyperthyroidism

Propranolol- 160 mg/day, CCB for those with Asthma, COPD

10

What does U/S of thyroid show?

Differentiates cyst from nodule, cancer?

11

What is Antithyroid Perioxidase Antibodies?

Lab- tests for antibodies that attack thyroid. In Graves and Hashimoto's

12

What is antithryoglobulin?

Lab- tests for antibodies that attack thyroid. In Graves and Hashimotos

13

PTU Treatment

For pregnancy. Risks of agranulocytosis, skin rash, and fever. Check CBC and LFT

14

Radioactive Iodine

Can worsen opthalmopathy. No pregnancy or children, or breastfeeding

15

Tx for Opthalmopathy

ALWAYS referral to ophthalmologist. Also steroids, eye lubricant for dry eyes.

16

Treatment for subclinical Thyroiditis

Watch and wait unless: A.Fib, presence of antibodies, menopausal women with osteoporosis.

17

Drugs that cause hypothyroidism?

Amiodarone and lithium

18

What can an elevated anti-TPO antibody suggest?

Hashimoto's or Graves, depending on the T4 and TSH

19

S and S of hypothyroidism

Dry skin, weight gain, loss of lateral eyebrows, bradycardia, heart hypertrophy, prolonged DTR relaxation

20

Normal TSH Value

.35-2.5. Up to 3 in Elderly

21

Treatment of elevated hypothyroidism based on TSH

>10 should be treated
>15 in presence of illness, check again
5-10, depends on judgement

22

Therapy for hashimoto's disease

1.6 mcg/kg/day-50-100
>60 or CAD, start at half the dose

23

Nodules and Cancer: Red Flags

Only one nodule. Firm, nontender, fixed, irregular. Men. >60, or