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Thyroid Gland Disorder - Coggle Diagram

- - - - ⬇︎ Thyroid tissue
        
        surgical or radiation
        
        Autoimmune thyroid destruction
        
        Congenital
        
        Cancer
      - ↓ synthesis of thyroid hormone
        
        endemic iodine deficiency
        
        Drugs :pill:
        
        Amiodarone
        
        Guaifenesin
        
        Lithium
    - - Inadequate production of TSH
        
        Congenital pituitary defects
        
        Pituitary Infection, tumor, infarcts, trauma
        
        Hypothalamic tumors, trauma, infarcts, infection
  - - - Hypoventilation
    - - Myxedema Coma
        
        factors leading to this include acute illness, surgery, chemotherapy, discontinuation of thyroid therapy, use of sedatives or opioids.
        
        Emergency Care
    - - 🏃🏼 ↓ activity
        
        pericardial 🫀 & pleural 🫁 effusion 💦
    - - Constipation
        
        Ascites
    - - ↓ Body Temp
    - - Hearing loss
  - - - Dry
      - puffy around eyes
      - Sparse Hair 🧑🏽‍🦲
    - - Sleepiness 🥱
  - - - age > 50 years old 40-180 ng/dL
      - Age 20-50 years: 70-205 ng/dL
      - Hypothyroidim ⬇︎
      - Hyperthyroidism ⬆︎
    - - Males: 4-12 mcg/dL👨🏽‍🦰
      - Females 👩🏾 5-12 mcg/dL
      - Older Adults 👵🏻👴🏾 >60 years: 5-11 mcg/dL
      - Hypothyroidim ⬇︎
      - Hyperthyroidism ⬆︎
    - - 0.8-2.8 ng/dL
      - Hypothyroidim ⬇︎
      - Hyperthyroidism ⬆︎
    - - 0.3-5 U/mL
      - High = primary hypothyroidism
      - Low= secondary hypothyroidism
- - - - Women
        
        Amenorrhea
      - Men
        
        ED 🌭
        
        Gynecomastia
    - - Chest pain
      - Dysrhythmias
      - ⬆︎ systolic BP
      - Tachy 💗
      - Rapid shallow respirations😮‍💨
    - - ⬆︎ appetite
      - ⬆︎ stools
      - Weight loss ⚖️
    - - Heat intolerance
        
        ⬆︎ basal metabolic rate
      - tremors
        
        Muscle weakness
        
        Insomnia
    - - Excessive sweating 🥵
  - - - Direct free T4
      - Serum T3
      - Serum T4
      - TSH
  - - - relieve diaphoresis, anxiety, tachy & palpitations
    - - Follow Safety Precautions for Patient getting unsealed Radioactive Isotope ☢
    - - ⬇︎ immune response & ⬆︎ risk for infection
      - could cause hypothyroidism
  - - - Must take thyroid replacements for life
    - - When stable q 30 mins
    - - parathyroid gland injury resulting in hypocalcemia
        
        assess for muscle twitching
      - Thyroid storm ☠️
      - Hemorrhage can occur in first 24 hrs
        
        Inspect neck dressing