Endocrine

Question 1

Thyroid hx

Answer 1

Energy, mood, sleep
Temperature/sweating
weight
hair loss
Eye sx
bowels
libido/ periods
Drugs: Lithium, amiodarone
associated conditions: viral illness, hyper cholesterol, IHD

Question 2

Components of a thyroid exam

Answer 2

1. Hands- tremor, dry skin
2. Pulse
3. Eye signs - (Graves: proptosis, chemosis, keratitis, ophthalmoplegia) Hyper: lid lag & retraction ; hypo periorbital oedema, loss of eyebrow, xanthelasma
4. Neck- Goitre (move w/ swallowing ; bruit, percussion for retro sternal )
5. Cardiac
6. Reflexes

Question 3

Most common causes of of hyperthyroidism?

Answer 3

Graves
Toxic thyroid adenoma and
toxic multinodular goitre a

Question 4

features of a thyroid storm as opposed to thyrotoxicosis

Answer 4

Fast AF, pyrexia, vomiting, diarrhoea and mental agitation are all features of a thyroid storm which is a medical emergency necessitating inpatient treatment to control the symptoms rapidly.

Question 5

Graves’ disease
is assoicated with which antibodies

Answer 5

Anti TSH-receptor antibodies