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Tyroid/Parathyroid
| Question | Answer |
|---|---|
| What can cause hypothroidism? | Iodine deficient diet, radiation and or surgery from hyperthroidism, drug-induced from amiodarone, lithium |
| What are the diagnostics for hypothryoidism? | Increase in TSH, and decrease in T3 and T4, radioactive iodine uptake, scan |
| What does the medical management for hypothyroidism include? | Sinthyroid and encourage iodine in diet |
| What does high fever, severe, tachycardia, delirium, dehydration, extreme irritability indicate? | thyroid crisis AKA thyrotoxicosis (too much thyroid hormone) |
| What condition is Graves disease associated w? | Hyperthyroidism |
| What is the term for protrusion of the eyes? | Exophthalamus |
| What is the most common med used for hyperthroidism? | Propylthiouricil (PTU) |
| What is the diet for a hyperthyroid pt? | high cal (5,000cal), avoid high fiber, decrease caffeine |
| What is the ideal position for post-surgical thyroidectomy? | semi-fowlers, to reduce stress on the suture line and reduce the risk of hemorrhage |
| What is one of the biggest concerns during surgery? | injury of the laryngeal nerve |
| What is the function of the parathyroid? | regulate calcium and phosphorus metabolism and produced parathyroid hormone. Activity is controlled by calcium serum levels |
| What are bones, stones and psychic groans associated w? | parahyperthyroidism |
| What does a positive Chvostek sign and Trousseau’s sign indicate? | hypocalcemia |
| What is parahypothyroidism caused by? | low calcium and high phosphorus |
| What are some of the clinical manifestations of hypoparathyroidism? | Tetany, numbness and tingling in face, lips, fingers, feet, laryngeal spasm, convulsions |