1
Q
Hypothyroidism is ___TSH ___T4
A
↑TSH ↓T4
2
Q
What are S/S of hypothyroidism?
A
Diminished DTR constipation wt gain dry skin cold intolerance
3
Q
what are DDx of hypothyroidism?
A
Hashimoto’s
Thyroiditis (postpartum)
iron deficiency
4
Q
What labs may you order for a pt with hypothyroidism?
A
TSH
Lipid (can be very high)
Thyroglobulin
5
Q
what is the tx for hypothyroidism?
what are ADRs to that tx?
A
Levothyroxine 1.6mcg/kg, take on empty stomach
ADR: tachycardia, ↓bone density, psych sx (anxiety, irritability)
6
Q
when do you F/u with a pt with hypothyroidism?
Pt education?
A
f/u: 6-8 wks
Tx is lifelong
ACR 2: Fatigue
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