Endocrinol

Notes

Endocrinology Illness Chart Disease Definition Risk Factors Signs/Symptom s Diagnostic Treatment Buzz Words Hypothyroidism Thyroid gland does not make enough thyroid hormone Medications: Lithium, amiodarone, alpha interferon Female > male Caucasian Cold intolerance Weight gain with decreased appetite Dry & Thickened skin Loss of outer ⅓ eyebrows Goiters Constipation Bradycardia Myxedema ↑TSH, ↓T4, +anti- thyroglobulin & anti-thyroid peroxidase antibody Radioactive uptake scan: ↓ iodine reuptake Levothyroxine- replaces T4, best to take in the AM on an empty stomach and 4 hours apart from supplements Subclinical Hypothyroidism Below level of clinical detection hypothyroidism Increase risk of CVD Patients with little or no symptoms Normal physical exam ↑TSH Normal T3/T4 Observe: repeat TSH in 3-6 months Levothyroxine Hashimoto Thyroiditis Most common cause of hypothyroidism in the US Women age 30- 50 Cold intolerance Weight gain with decreased appetite Dry & Thickened skin Loss of outer ⅓ eyebrows Goiters Constipation Bradycardia Myxedema ↑TSH, ↓T4, +anti- thyroglobulin & anti-thyroid peroxidase antibody, -TRAb Radioactive uptake scan: ↓ iodine reuptake Levothyroxine Recheck TSH in ~6...