Endocrine: Hyperthyroidism

Question 1

Hyperthyroid. Location? 10 min

Answer 1

ED -> outpatient is karto

Question 2

Hyperthyroid. exam? 7

Answer 2

General
HEENT - large thyroid
Chest
heart - bus tachy
Abdomen - not specified, tik kad can contribute to CP
Extremities - edema over the tibia bilaterally + tremor.
Neuro/psych - patient has a tremor

Question 3

Hyperthyroid. Lab standard? 2

Answer 3

CBC
BMP

Question 4

Hyperthyroid. lab heart?

Answer 4

ECG

Question 5

Hyperthyroid. lab thyroid? 3

Answer 5

TSH
Thyroxine, serum free
Triiodothyronine, serum total or free

T4 ir T3 prie to pacio tasko

Question 6

Hyperthyroid. what important LAB?

Answer 6

Toxicology screen, URINE
Anxiety and palpitations can be caused from illicit drugs

Question 7

Hyperthyroid. lab young patient?

Answer 7

rule out preganacy - ypac pries skiriant hyperthyroid gydyma

Question 8

Hyperthyroid. Tx 3?

Answer 8

1. Propranolol
2. Methimatoze/PTU
3. CONSULT, ENDOCRINOLOGY

as dar uzsakiau oftalmologa del exophtalmos - nebuvo
ir skyriau steroidus - irgi nebuvo

chirurginis ir iodine gydymas - tik veliau kai pasiekiama euthyroid state

Question 9

Hyperthyroid. Preventive?

Answer 9

buvo 2 sitam case - bet nespeficiniai
1. PAP
2. Tdap