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Flashcards in Thyroid disorders Deck (23)
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1

hypothyroidism

underachieve thyroid gland w/ deficient thyroid secretion

lower T4 levels

2

what does hypothyroidism result in?

slowed metabolic processes, affecting body temperature, heartbeat and slowing body processes

3

etiology of hypothyroidism

decreased thyroid-secreting hormone secreted by the hypothalamus or by the pituitary gland

atrophy of thyroid gland

chronic autoiune thyroiditis (Hashimoto's disease)

overdose w/ antithyroid meds

4

Hashimoto's disease

hypothyroidism

5

signs and symptoms of hypothyroidism

MOMS USE SICD

Myxedema (swelling of skin and soft tissue)
Obesity or weight gain
Memory loss
Slurred speech
Unable to breathe/dyspnes
Slowed GI motility
Excessive fatigue
Slowed HR
Increased BP
Cold intolerance
Delayed DTR's/Carpal tunnel

6

Implications for PT w/ hypothyroidism

exercise intolerance w/ fatigue, weakness, myalgia and risk of rhabdo if excessive progression of exercise

after long-term med use: risk of pseudo gout, osteoporosis and afib

7

hyperthyroidism

hyperactivity of the thyroid gland

8

Grave's disease

autoimmune disease w/ autoantibodies

hyperthyroidism

9

Who is normally at risk for hypothyroidism

female 30-60y/o

10

Symptoms of hyperthyroidism (Graves)

SHWEATING

Sweating
Hyperreflexia
Weight loss
Emotional lability
Appetite increased/ Afib
Tremor/tachycardia
Intolerance to heat/irregular menstruation/irritability
Nervousness
GI problems (diarrhea)

11

what cardiac symptoms can hyperthyroidism produce?

Afib
CHF
MI

12

who is more at risk for hyperthyroidism

female, 20-40y/o

13

implications for PT w/ hyperthyroidism

excessive intolerance and reduced exercise capacity

thyrotoxicosis can aggravate preexisting heart disease

14

hyperparathyroidism

increase secretion of parathyroid hormone

15

what does hyperparathyroidism lead to?

hypercalcemia and hyperphosphatemia (in blood/urine(

16

what doe hyperparathyroidism result in?

MSK, kidney, GI and CNS impairments

17

who is more at risk for hyperparathyroidism?

females > 60 y/o

18

Signs and symptoms of hyperparathyroidism

Stones, bones, groans, moans and psychiatric

Kidney stones (renal calculi)/Kidney failure

Bone decalcification-pain/patho fx

Weakness/fatigue, hyper mobility

Peptic ulcers, pancreatitis

Memory, depression, personality changes

19

Implications for PT hyperparathyroidism

bone pain

appropriate WB 2nd to fx

care w/ jt mobilization

proper hydration and monitor for fatigue

20

hypoparathyroidism

decreased secretion of parathyroid hormone

21

what does changes does hypoparathyroidism bring on?

hypocalcemia and hypophosphatemia

pronounced neuromuscular, CNS and cardiac impairments

22

signs and symptoms of hypoparathyroidism

Milk Carpools Facing Candy Stores

Mucle weakness, pain and tetany
Carpal spasm (Trousseau sign)
Facial spasm (Chvostek sign)
Cardiac arrhythmias
Seizures

23

Implications for PT w/ hypoparathyroidism

acute: life threatening, immediate care

chronic: hyperventilation may worsen tetany- BREATHE

Monitor vital signs for cardiac symptoms