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Hyperthyroidism (Complications (Arrhythmia, Left ventricular hypertrophy,…
Hyperthyroidism
Risk Factors
Diabetic ketoacidosis (DKA)
Excessive iodine intake
Infection
Stress
Surgery
Toxemia (Surgery)
Labs/Diagnostics
Imaging
Thyroid scan
Radioactive iodine uptake test
Increased uptake
Diagnostics
Electrocardiogram
Tachycardia
Atrial fibrillation
Labs
Decreased
Cholesterol
Total lipid level
TSH
Increased
T3
T4
Protein-bound Iodine
(GRAVES) Thyroid autoantibody titers
Causes
Hyperactivity of thyroid gland
high levels of thyroid hormone circulating body
Grave's Disease
Goiter
Diffuse
Multinodular
Adenoma
Thyroiditis
Iodine-containing agents
Hypothyroidism
Complications
Arrhythmia
Left ventricular hypertrophy
Heart Failure
Muscle weakness/Atrophy
Paralysis
Osteoporosis
Vitiligo
Skin hyperpigmentation
Myasthenia Gravis
Impaired fertility
Decreased libido
Gyneocomastia
Thyroid Storm
Liver/Kidney Failure
Symptoms/Clinical Manifestations
"Exaggerated Manifestation"
Thyroid Storm
Increase in Sympathetic Nervous System activity
Hypermetabolic State
Nervousness
Irritability
Fatigue
Weight Loss
Increased Appetite
Tachycardia
Palpitations
SOB
Heat Intolerance
Muscle Cramps
Sweating
Collaborative Treatments
Reducing Levels of Thyroid Hormone
Eradication of Thyroid
Surgical
Total Removal
Partial Removal
Drugs
Beta-adrenergic blockers
propanolol
metropolol
atenolol
nadolol
Antithyroid
propylthiouracil
methimazole
Radioactive Iodine (more common than surgery)
Diet
Adequate calroies
Hydration!
Inhibit Thyroid from using iodine. Block conversion of T4 to T3
Increased Oxygen Consumption and Use of Metabolic Fuels
