Thyroid Disorders
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show | Lies just below the larynx with one lobe lying on either side of the trachea
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show | Isthmus
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show | *Thyroxine(T4) *Triiodothyronine(T3) *Calcitonin
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What does the thyroid require for normal secretion of T3 and T4? | show 🗑
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What does the thyroid regulate? | show 🗑
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What hormone regulates the thyroid? | show 🗑
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What hormone released by the thyroid gland decreases blood calcium levels by causing calcium to be stored in bones? | show 🗑
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What diseases fall under hyperthyroidism? | show 🗑
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What does hyperthyroidism result in? | show 🗑
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What are the Objective S/Sx of hyperthyroidism? | show 🗑
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show | *Decreased ability to concentrate, presence of memory loss *Dysphagia *Weight loss even with increased appetite *Complaint of nervousness, jittery, excitable *Insomnia *Emotionally labile, may overreact to stress
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What is the gold standard Tx of hyperthyroidism? | show 🗑
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show | Pregnant healthcare workers, and is contraindicated in pregnant PTs
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What are the adverse effects of ablation therapy? | show 🗑
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Surgical management of hyperthyroidism is what? | show 🗑
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show | *Tetany *Hemorrhage *Edema *Thyroid Storm
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What causes Tetany as a complication of Subtotal Thyroidectomy? | show 🗑
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What can Tetany lead to? | show 🗑
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show | *Positive Chvostek’s Sign *Positive Trousseau’s Sign *Carpopedal spasm *Tachycardia, tachypnea, hypertension *Laryngeal spasm *Numbness or tingling
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show | IV Calcium Gluconate
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show | *Over-release of thyroid hormone in the blood stream *Appears within 12 hours post-op of subtotal thyroidectom
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S/Sx of Thyroid Storm: | show 🗑
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show | *IV fluids *Sodium iodide and Corticosteroids *Antipyretics and oxygen as needed
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Who does Hypothyroidism primarily effect? | show 🗑
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What is congenital hypothyroidism called? | show 🗑
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What are the clinical manifestations of hypothyroidism? | show 🗑
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show | *Impaired memory, slow thought processes *Depression or paranoia *Lethargy, forgetfulness, and irritability *Anorexia and constipation *Decreased libido and reproductive difficulty *Menstrual irregularities *Speech and hearing impairments
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What causes goiter? | show 🗑
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show | *Oral Potassium iodine *Iodine rich foods
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What is the prognosis of Papillary thyroid cancer? | show 🗑
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show | *Rare *Very low cure rates
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show | *Presence of a painless, firm, fixed nodule, palpable on examination *Rarely: symptoms of hyperthyroidism
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What is the surgical management of thyroid cancer? | show 🗑
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show | Possibility of “seeding” adjacent tissue with cancer cells causing metastasis
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