Thyroid disorders Flashcards
(23 cards)
hypothyroidism
underachieve thyroid gland w/ deficient thyroid secretion
lower T4 levels
what does hypothyroidism result in?
slowed metabolic processes, affecting body temperature, heartbeat and slowing body processes
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
Hashimoto’s disease
hypothyroidism
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
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
hyperthyroidism
hyperactivity of the thyroid gland
Grave’s disease
autoimmune disease w/ autoantibodies
hyperthyroidism
Who is normally at risk for hypothyroidism
female 30-60y/o
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)
what cardiac symptoms can hyperthyroidism produce?
Afib
CHF
MI
who is more at risk for hyperthyroidism
female, 20-40y/o
implications for PT w/ hyperthyroidism
excessive intolerance and reduced exercise capacity
thyrotoxicosis can aggravate preexisting heart disease
hyperparathyroidism
increase secretion of parathyroid hormone
what does hyperparathyroidism lead to?
hypercalcemia and hyperphosphatemia (in blood/urine(
what doe hyperparathyroidism result in?
MSK, kidney, GI and CNS impairments
who is more at risk for hyperparathyroidism?
females > 60 y/o
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
Implications for PT hyperparathyroidism
bone pain
appropriate WB 2nd to fx
care w/ jt mobilization
proper hydration and monitor for fatigue
hypoparathyroidism
decreased secretion of parathyroid hormone
what does changes does hypoparathyroidism bring on?
hypocalcemia and hypophosphatemia
pronounced neuromuscular, CNS and cardiac impairments
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
Implications for PT w/ hypoparathyroidism
acute: life threatening, immediate care
chronic: hyperventilation may worsen tetany- BREATHE
Monitor vital signs for cardiac symptoms
