EXTRA

Question 1

myxoedema

Answer 1

signs:
confusion
bradycardia
hypothermia

management:
IV thyroid
IV fluids
IV steroids

Question 2

what can lower the HbA1c

Answer 2

sickle cell anaemia
G6PD
hereditary spherocystosis

Question 3

sub clinical thyroid management

Answer 3

if TSH 4-10:
<65 yrs try levothyroxine
watch in elderly and asymptomatic patients

if TSH>10:
<70 yrs try levothyroxine
watch in elderly

Question 4

sub acute thyroid stages and signs

Answer 4

hyperthyroid - painful goitre, raised ESR
euthyroid
hypothyroid
normal

self-limiting
NSAIDs
consider steroids, especially if hypothyroid occurs

Question 5

what the MEN types

Answer 5

type 1:
parathyroid
pituitary
pancreases

type 2a:
phaemocytoma
parathyroid
medullary

type 2b:
phaemocytoma