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what hormone; regulates body metabolism, helps to regulate groth and development, CHO, fat and protein metabolism, reproduction, resistance to infection |
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to much of this is dangerous speeding of metabolism, to little is sluggish metabolism |
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ingestion of iodine and protein, and release of TSH from pituitary which is a negative feedback. |
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Definition
production of thyroxin depends on what |
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lack of iodine in thyroid |
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- this is an over activty of the thyroid glad
- hypersecreation of thyroid hormone
- increased in body metabolism and heat produciton
- systemic action overactive mania
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Definition
- this is an underactivity
- hyposecretion of thyroid hormone
- decrease in body metabolism and heat production
- myxedema-extreme form body metabolism slows to dangerous levels
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can cause a cough and make it difficult for you to swallow or breathe.
lack of iodine in diet
enlargement of the thyroid
this is the most common structural change
belts are -MW NW, great lakes
winter and fall
2X more common in women |
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Term
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Definition
ype of “simple” goiter that may be diffuse (enlarging the whole thyroid gland) or nodular (enlargement caused by nodules, or lumps, on the thyroid.
genetic defects
ingestion of nutritional goitrogens, ingestion of medical goitrogens
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Definition
enlarging neck
patient history
lab tests |
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Definition
- iodine preparation or thyroid hormones
- watch for thyrotoxicosis
- sub-total thyroidectomy
- prevention eat iodized salt
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Term
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Definition
inflammation of the thyroid
I &D of gland
pacterial infections are rare |
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Term
Chronic thyoiditis- hashimoto's |
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Definition
long-term disorder- most common
females 30x more often
females during menopause
autoimmune or genetic |
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Definition
symptoms include: painless enlargement of gland, respiratory distress, dysphagia |
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Biopsy, and lab tests are done |
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Thyroiditis
course of disease |
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Definition
some remit spontaneously
some stay stable for years
hypothroidism and myxedema in 1/3 |
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treatments of this include: reduce size and prevent hypothyroidism
give thyroid to prevent hypo and suppress TSH
steroids
partial thyroidectomy |
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this can constitiue 1/3 of thyroid enlargements
benign adenomas most common
benign can transform to malignant (which is spreading of tumor)
symptoms- painless enlargement of gland |
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Definition
what are the two major forms of hypothyroidism? |
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Definition
this is severe hypothyroid condition of infancy
caused may include:
- inborn error of iodine metabolism
- servere iodine deficiency in mom
- congenital absence of thyroid or anatomical malformation
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Definition
Dwarfism, developmental delays, thick, dry skin, large protruding tongue, umbilical hernia |
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treatments of this include: daily thyroid hormone, even with treatment child may be developmentally delayed |
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extreme adult form of hypothyroidism
slowed body metabolism
personality changes
generalized interstital edema |
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includes: primary hypothyroidism, secondary hypothyroidism, hashimotos
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Definition
symptoms include:
sensitivity to cold
lethargy slowing of mental reactions
dry skin and hair
forgetfulness
depression
weight gain
features become coarse |
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complications of myxedema |
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Definition
complications include:
rapid development of CHD,CHF
acute organic psychosis
coma-fatal |
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Definition
treatments include- medications-thyroid, treat other complications |
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highly prevalant disease
4X more common in females
20-40 years age
excessive thyroid hormone secreted |
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Definition
accounts for 85% of thyrotoxicosis
hallmarks include: hyperthroidism, goiter, exopthalmos
autoimmune |
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Definition
symptoms include: CNS, C-V, cutaneous, ocular, GI |
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diagnosis include: pt history, symptoms, labs |
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treatment includes: cutail excessive secretion of thyroid hormone and treat complications, anti-thyroid drug-patients under 18 yours or pregnant, surgery |
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to manage this it can include:
restful environment, teach to recognize bizarre behavior, diet, weigh |
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this is the removal of all or part of thyroid gland
post-op goals: decrease strain on sutrue line
pain, respiratory assess for complications |
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thyroidectomy complications |
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Definition
some complications include- hemorrhage, respirtory obstruction, laryngeal nerve damage, weakness of voice, hypocalcemia, thyroid storm |
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