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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| What hormones does the thyroid secrete? | show 🗑
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| show | Adequate iodine intake
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| What does the thyroid regulate? | show 🗑
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| What hormone regulates the thyroid? | show 🗑
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| show | Calcitonin
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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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| show | Ablation Therapy with Radioactive Iodine
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| Iodine-131 is a radiation hazard to who? | show 🗑
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| show | *CHRONIC HYPOTHYROIDISM *Abdominal pain; nausea/vomiting/diarrhea sore throat; neck pain and edema *Rash; pruritis *Loss of taste
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| show | Subtotal Thyroidectomy (5/6th thyroid removed)
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| What are the most common complications of a Subtotal Thyroidectomy? | show 🗑
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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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| What are S/Sx of Tetany? | show 🗑
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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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| Tx of Thyroid Storm: | show 🗑
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| show | women 30-60 years of age
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| show | Cretinism
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| show | *Hypothermia/intolerance to cold *Weight gain *Development of atherosclerosis/CAD
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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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| What is the medical management of a goiter? | show 🗑
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| show | *Well-differentiated adenocarcinoma *Slow-growing *Usually contained and does not spread *High cure rate after thyroidectomy
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| What is the prognosis of follicular and anaplastic thyroid cancer? | show 🗑
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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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