HYPERTHYROIDISM NUR FARRA NAJWA BINTI ABDUL AZIM 082015100035
OBJECTIVES At the end of the seminar, students should be able to Undertands what is hyperthyroidism and their classification. Explain the cause of each type of hyperthyroidism. Know the feature of each type of hyperthyroidism. List the diagnose of hyperthyroidism. Describe the treatments of hyperthyroidism.
INTRODUCTION
causes
features
DIAGNOSIS Estimation of T3 (tri- iodothyronine ) and T4 ( thyronine ) and TSH (thyroid stimulating hormone) MARKERS PRIMARY HYPERTHYROIDISM SECONDARY HYPERTHYROIDSM T3 & T4 High High TSH Low High
TREATMENTS
SPECIAL STATE OF HYPERTHYROIDISM Thyrotoxicosis Grave’s disease Thyroid storm Patient suddenly extreme ill High fever, profound tachycardia, restlessness sometimes collapse.
State of thyroid hormone excess production due to severe hyperthyroidism Also can occur without hyperthyroidism ( thyroidistis @ thyrotoxicosis factitia ) Diffuse enlargement of thyroid gland ( exophthalmos ) Autoimmune, development of antibodies against the TSH receptor Thyroid become hypertrophied and hyperactive T3 and T4 level high TSH low