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cce_paediatrics_thyrotoxicosis (physical examination (growth, development,…
cce_paediatrics_thyrotoxicosis
history
investigations
(anorexia: dehydration, hypoglycemia, arrhythmia) CBC DC, LFTRFT, TFT
(Graves: TSH receptor autoantibodies) (Hashimoto: anti-thyroid peroxidase antibodies)
USG thyroid
physical examination
growth, development
(
exophthalmos
,
lid retraction
,
ophthalmoplegia
) thyroid, peripheral
PACME
general
(resuscitation) vitals (GCS)
surgery
thyroidectomy
follow-up (fT4: hypothyroidism)
eye signs may not resolve
relapse rate 40-50%
pharmacological
beta-blocker (symptom)
anti-thyroid drugs (carbimazole)
radioactive
radioactive iodine
rash, pruritis, arthralgia
agranulocytosis