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11 Cards in this Set
- Front
- Back
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Hypothroidism
TFT's |
elevated TSH
decreased T4 tx: give synthetic T4 |
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Causes of hypothyroidism
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Hashimotos thyroiditis
subacute thyroiditis following tx for hyperthroidism sick-euthyroid syndrome iodine deficinecy |
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Dx of Hashimotos
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antimicrosomal abx
histology- lymphocyte infiltration of the gland usually assocaited with other autoimmune diseases |
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what is subacute thyroiditis
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acute viral inflammation with fever and enlarged, tenderthyroid gland
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what is sick-euthyroid syndrome
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any illness that may decrease t4 and/or t3, but TSH is normal
condition is self-limiting and no treatment is necessary |
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Treatment for hyperthyroidism
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antithyroid drugs: propylthiouracil or methimazole
surgery for patients under 25/pregnant women radaiactive iodine for patients over 40 |
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Causes of hyperthyroidism
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Graves Dz
Plummers Dz/Toxic multinodular goiter Toxic adenoma Thyroiditis |
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signs of graves dz
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exophthalmos
pretibial myxdema nontender,diffuse goiter |
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Dx of Cushing's Syndrome
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24 hour urine test for free cortisol
Plasma cortisol is NOT accurate dexamethasone suppression test |
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W/u of hyperadrenalism
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check MRI of brain to r/o pituitary adenoma
look for adrenal neoplasm that produces steroids or small cell cancer that prodces ACTH |
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Primary hyperaldosteronism
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check for hypertension, hypernatremia, hypokalemia and low renin
get CT scan of abdomen high renin --> secondary hyperldosteronism |
