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diagnosis differential treatment algorithm pharmacology criticalcare checklist workup endocrinology cardiology anesthesia anesthesiology pulmonary syndrome neurology clinical intraoperative toxicology rheumatology table
Thyroid Goiter on Physical Exam Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... goiters caused ... by iodine deficiency ... #PhysicalExam #iodine
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 Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
Differentiation of Causes ... thyroxine • Iodine ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... #radioactive #iodine
Laboratory Evaluation of Patients for Thyroid Disease Hyperthyroidism: • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... uptake; thyroid ... uptake; thyroid ... procedure that ablates thyroid
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine ... hyperthyroidism #causes
Thyroid Disorders - Differential Diagnosis Algorithm Hypothyroidism: • Hasimoto’s • Radioactive Iodine • Hypopituitarism • Iodine
Thyroid Disorders ... • Radioactive Iodine ... Hypopituitarism • Iodine ... @AmyChung #Thyroid
Amiodarone Thyroid Complications Amiodarone: - iodine-rich, similar structure to T4, with half life up to 100d
Amiodarone Thyroid ... Amiodarone: - iodine-rich ... pts w/ latent thyroid ... dz: iodine load ... Wolff-Chaikoff effect (iodine
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Pharmaceutical Management ... Hyperthyroidism / Thyroid ... Blocks synthesis of thyroid ... • Teratogenic Iodine ... #ThyroidStorm #Management
Pemberton's Sign caused by a Retrosternal Thyroid Goiter Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... a Retrosternal Thyroid ... Elevating the arms causes ... #Retrosternal #Thyroid
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 Graves' Disease Treatment Thionamides (mainly methimazole) • Chance of remission in up to 2 years • No
2 years • No thyroid ... cost Radioactive Iodine ... Disease #Treatment #Management
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... CNI, Alcohol, Cocaine ... Other Endocrine causes ... : Thyroid disease ... low renin HTN causes
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