What is the autoimmune disease related to hypothyroidism called?
Hashimotos
Is this person suffering from hyper or hyperthyroidism?
Hyperthyroidism
What can be the causes of hyperparathyroidism?
adenoma, vitamin d deficiency, GI issues, renal failure
What is the Trousseaus sign
Inflate the bp cuff and if the patients hand twitches it indicated hypocalcemia
What is the autoimmune disease related to hyperthyroidism?
Graves disease
low: energy, metabolism, digestion, libido
irregular periods, hair loss
What gland is this?
When a parathyroidecomty is done, does it always remove the entire parathyroid?
No, it can either be the entire glad or up to 5/6 of the gland
What is the Chovestk sign?
If you tap your cheek and notice a twitching it indicates hypocalcemia
What are the symptoms of hyperthyroidism?
exophthalmos of eyes,
goiters, high BP, high HR, heart palpitations
Describing the levels by high or low, what would T3, T4 and TSH show as in a person with hypothyroidism?
Low T3
Low T4
High TSH
What do the yellow dots depict?
Parathyroid gland
What labs would be increased in an individual suffering from hyperparathyroidism?
PTH and calcium
What can be the causes of hypocalcemia?
Thyroidectomy
Low magnesium
Autoimmune disease
Post radiation treatment
Describing the levels as high or low, what would T3, T4 and TSH show as in an individual with hyperthryoidism?
High T3
High T4
Low TSH
What are emergency symptoms of hypothyroidism ?
myxedema swelling of the skin
coma
respiratory failure
low blood pressure
Thyroid storm
What are the symptoms of hyperparathyroidism?
high calcium, weak bones, kidney stones
Determine cause of lowered calcium
Increase blood calcium with suuplements/medication
What are the emergency symptoms or hyperthyroidism?
Thyrotoxicosis- Thyroid storm
agitation, confusion, hypertensive
Treatment of hypothyroidism
Avoid narcotics and sedatives
Way to remember:
LEVO
L- lifelong pharmacological treatment
E- early morning is when meds should be taken on an empty stomach 30-60 minutes before eating
V- Very active thyroid symptoms occur if you take too much
O- oh the baby is fine, which means these types of medications are okay to take when pregnant or lactating
What would be the locations for issue as a primary, secondary and tertiary hyperthyroidism?
Primary- at the thyroid gland
Secondary- at pituitary gland
Tertiary- at the hypothlamus
What is the treatment of hyperparathyroidism?
Lower blood calcium
Parathyroidectomy
IV fureosemide
Over treatment of which condition can lead to hypocalcemia?
Hyperparathyroidism
In hyperparathyroidism a person can have increased calcium. By treating that and lowering the calcium levels, a person can become hypocalcemia from over medicating.
Treatment of hyperthyroidism
SSKI- potassium iodide
S- shrinks thyroid S- stains teeth K- Keep 1 hour apart from other meds
Methimazole- not baby safe
Radioactive iodine to shrink/ remove thyroid
Propylthiouracil