Thyroid disease (main): Difference between revisions

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==Background==
==Background==
*Spectrum of Disease
{{Thyroid gen background}}
**[[Myxedema coma]] << [[hypothyroid]] < euthyroid > [[hyperthyroid]] >> [[thyroid storm]]


==Other==
==Clinical Features==
#Cretinism - no congenital t3/t4
#Parafollicular C cells make calcitonin to keep the bone in
#Endemic goiter- if patient from area c low iodine I intake
#Free t3 & t4 determines thyroid state - not total plasma conc
#T4-> T3 active & rt3 inactive
#TRH -> TSH -> T4 -> T3


==Thyroid Studies and Etiologies==
==Differential Diagnosis==
[[File:thyroid studies.JPG|thumbnail]]
 
*Hyperthyroidism
==Evaluation==
*Subclinical hyperthyroidism
[[File:thyroid studies.JPG|px200]]
*T3 toxicosis
 
*Thyroiditis, T4 ingestion, hyperthyroidism of elderly or cormorbid illness
==Management==
*Euthyroid sick syndrome, central hypothyroidism
 
*Subclinical hypothyroidism, recovery from euthyroid sick syndrome
==Disposition==
*Primary hypothyroidism
*TSH producing pituitary adenoma


==See Also==
==See Also==
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*Sharma AN, Levy DL; Thyroid and Adrenal Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 128: p 1676-1693.
*Sharma AN, Levy DL; Thyroid and Adrenal Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 128: p 1676-1693.
*Agus, MSD: Chapter 86 – Endocrine Emergencies, in Fleisher & Ludwig’s Textbook of Pediatric EM, 6th Ed., Lippincott Williams & Williams, 2010, p. 779-780
*Agus, MSD: Chapter 86 – Endocrine Emergencies, in Fleisher & Ludwig’s Textbook of Pediatric EM, 6th Ed., Lippincott Williams & Williams, 2010, p. 779-780
[[Category:Endocrinology]]
[[Category:Endocrinology]]

Latest revision as of 22:34, 17 December 2019

Background

Spectrum of Thyroid Disease

Thyroid physiology

Clinical Features

Differential Diagnosis

Evaluation

px200

Management

Disposition

See Also

References

  • Sharma AN, Levy DL; Thyroid and Adrenal Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 128: p 1676-1693.
  • Agus, MSD: Chapter 86 – Endocrine Emergencies, in Fleisher & Ludwig’s Textbook of Pediatric EM, 6th Ed., Lippincott Williams & Williams, 2010, p. 779-780