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THYROIDITIS (TREATMENT FOR THYROID STORM (OBJECTIVE DATA (MANAGEMENT…

- - - - Family history of thyroid disorders including pre-existing goitre
      - exposure to head and neck radiation or recent surgery.
      - use of any medication contained derivatives of the thyroid hormone.
      - weight loss despite a good appetite.
      - any nervousness, irritability, emotional instability, fatigue, insomnia,exercive sweating and itching.
      - any breathlessness on exertion
      - any palpitations
      - any muscle weakness
  - - - Treat modalities in hypothyroidism
      - give anti-thyroid drug therapy
      - surgery
      - radioactive iodine therapy
- - - - Grave's disease is an autoimmine condition where T3 and T4 are increased because of abnormal stimulation of the thyroid gland by the circulatin immunoglobulins.
      - it is characterised by a diffuse enlargement of the thyroid gland(goitre).
      - SIGNS AND SYMPTOMS OF GRAVE'S DISEASE
        
        Nervousness
        
        Emotional hyper-excitable, irritable, apprehensive
        
        Inability to sit still
        
        always suffer from palpitations, atrial fibrillation and tachycardia at rest and on exertion.
        
        high levels of thyroid hormone in the circulation stimulate cell metabolism resulting in high metabolic rate.
        
        patient is flushed and warm ,with moist skin
        
        abnormal muscle weakness and amenorrhoea are present.
      - TOXIC MULTINODULAR GOITRE
        
        It occurs after a long history of goitre.
        
        Small, discrete, independent nodules develop, which secrete thyroid hormone.
        
        when hyperthyriodism occurs, the condition is described as a toxic adenoma.
      - THYROID CRISIS/STORM
        
        It is a rare compecation of hyperthyroidism and may occur before surgery or early during the postoperative period
        
        CAUSES: increased circulating thyroxin in the blood stream leading to increased metabolism.
        
        it also caused by incompliete removal of thyroid gland
      - SIGNS AND SYMPTOMS
        
        It is a medical emergency with hyperpyrexia of 41degrees celcius
        
        apprehension and restlessness.
        
        increased heartbeat of 200bpm and acute left ventricular failure