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19 Cards in this Set

  • Front
  • Back
The hormones from this gland are responsible for growth, development, and function of nervous, skeletal, and reproductive tissue.
thyroid hormones
A pt exhibits symptoms of increased sympathetic nervous system activity, but the catecholamine levels are normal. Suspect ___
thyroid overactivity
Irreversible mental retardation and dwarfism may caused by ___ early in life.
thyroid deprivation
pale, cool, puffy skin,
drooping eyelids, periorbital edema,
decreased appetite, decreased BMs,
lethargy, and decreased BMR
are signs of ___
hypothyroidism
warm, MOIST skin,
wide stare, exopthalmous,
increased appetite, incr BMs,
nervousness, and increased BMR
are signs of ___
hyperthyroidism
____ --> decreased cholesterol
____ --> increased cholesterol
hyperthyroid = decreased chol
hypothyroid = increased
Name the 2 causes of secondary hypothyroidism
pituitary disease and hypothalamic disease
Hashimoto's thyroiditis, iodine deficiency, enzymatic deficit in the thyroid, and ingestion of goitrogens are examples of ___
primary hypothyroidism
Puffy face/eyelids and a progressive stupor, paranoid psychosis, or seizures may be signs of ___
myxedema coma - medical emergency!
Most cases of myxedema coma are precipitated by ___
stress
Even with aggressive therapy, mortality rates of a myxedema coma are ___to___%.
60-70%
Treatment for myxedema coma
thyroid hormone replacement,
maintaining vital functions, and
eliminating precipitating factors
Propylthioruacil (PTU), methimazole - Tapazole, and Thioamide are types of ___
anti-thyroid meds
action of thioamides
prevent thyroid hormone synthesis by inhibiting thyroid peroxidase
A maculopapular pruritic rash accompanied by fever, and less commonly vasculitis, can be caused by which anti-thyroid med?
Thioamides
Goals of anti-thyroid medications are:
restore thyroid hormone in tissue,
provide symptomatic relief,
prevent neurologic deficits, and
reverse biochemical abnormalities.
Pregnant patient considerations
-increased baseline T4 requirements
-increased TBG
-need monthly monitoring of TSH
2 tests measuring the function of the HPT axis
TSH and TRH
Tests of thyroid gland function
Radioactive Iodine Uptake (RAIU) and Thyroid Scan