Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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
|