Diferencia entre revisiones de «Thyroid disease (main)»

Sin resumen de edición
Línea 12: Línea 12:
#TRH → TSH → T4 → T3
#TRH → TSH → T4 → T3


==Thyroid Studies and Etiologies==
==Evaluation==
[[File:thyroid studies.JPG|px200]]
[[File:thyroid studies.JPG|px200]]
*Hyperthyroidism
*Subclinical hyperthyroidism
*T3 toxicosis
*Thyroiditis, T4 ingestion, hyperthyroidism of elderly or cormorbid illness
*Euthyroid sick syndrome, central hypothyroidism
*Subclinical hypothyroidism, recovery from euthyroid sick syndrome
*Primary hypothyroidism
*TSH producing pituitary adenoma


==See Also==
==See Also==

Revisión del 22:26 17 dic 2019

Background

Thyroid physiology

Other

  1. Cretinism - no congenital T3 or T4
  2. Parafollicular C cells make calcitonin to keep the bone in
  3. Endemic goiter- if patient from area of low iodine intake
  4. Free t3 & t4 determines thyroid state - not total plasma conc
  5. T4→ T3 active & rt3 inactive
  6. TRH → TSH → T4 → T3

Evaluation

px200

See Also

References

  • Sharma AN, Levy DL; Thyroid and Adrenal Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 128: p 1676-1693.
  • Agus, MSD: Chapter 86 – Endocrine Emergencies, in Fleisher & Ludwig’s Textbook of Pediatric EM, 6th Ed., Lippincott Williams & Williams, 2010, p. 779-780