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Flashcards in Thyroid Disorder Deck (23)
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1
Q

Graves Patients- Who to refer to?

A

ALL need ophthalmologist

2
Q

S and S of Hyperthyroidism

A

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

3
Q

Medications that Cause Hyperthryoidism

A

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

4
Q

Plummer’s Disease

A

Toxic Multinodular Goiter

5
Q

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

A

Pituitary tumor

6
Q

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

A

Graves, Plummers, Adenoma

7
Q

Labs- Normal T4, undetectable TSH

A

Subclinical Hyperthyroidism

8
Q

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

A

Thryoiditis- pregnancy, postpartum, silent, and viral

9
Q

Treatment for Ssmptoms of hyperthyroidism

A

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

10
Q

What does U/S of thyroid show?

A

Differentiates cyst from nodule, cancer?

11
Q

What is Antithyroid Perioxidase Antibodies?

A

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

12
Q

What is antithryoglobulin?

A

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

13
Q

PTU Treatment

A

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

14
Q

Radioactive Iodine

A

Can worsen opthalmopathy. No pregnancy or children, or breastfeeding

15
Q

Tx for Opthalmopathy

A

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

16
Q

Treatment for subclinical Thyroiditis

A

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

17
Q

Drugs that cause hypothyroidism?

A

Amiodarone and lithium

18
Q

What can an elevated anti-TPO antibody suggest?

A

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

19
Q

S and S of hypothyroidism

A

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

20
Q

Normal TSH Value

A

.35-2.5. Up to 3 in Elderly

21
Q

Treatment of elevated hypothyroidism based on TSH

A

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

22
Q

Therapy for hashimoto’s disease

A

1.6 mcg/kg/day-50-100

>60 or CAD, start at half the dose

23
Q

Nodules and Cancer: Red Flags

A

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