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Endo Step up
Endocrine step up
8
Medical
Graduate
12/07/2013

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Cards

Term
In Graves disease, a radioiodide scan would show what?
Definition
DIFFUSE UPTAKE (because every thyroid cell is hyperfunctioning)
Term
What is Plummer's disease?
Definition
multinodular toxic goiter - characterized by hyperfunctioning areas that produce high T4 and T3 levels thereby decreasing TSH. As a result, the rest of the thyroid is not functioning (atrophy due to decreased TSH)
Term
What will appear on a radioiodide scan with Plummer's disease?
Definition
PATCHY UPTAKE of iodide
Term
What are three signs specific to GRAVE'S disease?
Definition
exopthalmos
pretibial myxedema
thyroid bruit
Term
What causes the proptosis in GRAVE'S disease?
Definition
edema of the extraocular muscles and retro-orbital tissue
Term
What is pretibial myxedema and what causes it?
Definition
edema over tibial surface due to dermal accumulation of mucopolysaccharides
Term
Is measuring T3 necessary in the workup for HYPERthyroidism?
Definition
usually unnecessary, but may be helpful if TSH and T4 are normal
Term
What is the importance of radioactive T3 uptake?
Definition
it helps differentiate between elevations in thyroid hormones due to increased TBG from true hyperthyroidism
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