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Hyperthyroidism - Coggle Diagram
Hyperthyroidism
Symptoms
Nervousness, irritability, fatigue
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Tachycardia, palpitations, elevated cardiac output, HF, SOB
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exophthalmos: dry, red, swollen, bulging eyes. Visual changes, light sensitivity, blurry vision.
Risk Factors
Graves disease: opthalmopathy, dermopathy, and diffuses goiter
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Plummer's disease: a benign lump/adenoma will cause enlargement of the thyroid and excess production of T4
Postpartum: Thyroid gland can become enlarged and the inflammation can cause stored T4 to leak into the blood.
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Chronic diseases: Diabetes type 1, pernicious anemia, primary adrenal insufficiency
Complications
Graves disease: opthalmopathy, dermopathy, and goiter
Thyroid storm: life-threatening due to untreated hyperthyroidism. Can be brought on by acute stress, thyroidectomy, or emotional/physical stress.
Heart problems due to the tachycardia, palpitations, and AFIB.
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Collaborative Care
Provider will prescribe antithyroid medications, radioactive iodine, and beta blockers (relieves symptoms).
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OT: Promote coping skills such as exercise, relaxation techniques because Graves Disease has stress as a risk factor.
Labs/Diagnostic Tests
Physical assessment, metabolic panel blood test. Results of a blood test can be affected by multivitamins.
Blood test: Measure the amount of T4, T3, and TSH. For hyperthyroidism, TSH will be low and T3 and T4 will be above 12 for t4 and above 220 ng/dL for T3.
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