Hypothyroidism hypothyroidism-hypothyroidism-is-a-clinical2911
Hypothyroidism 19.07.08
9
Hypothyroidism dr shabeel’s presentations
-
Upload
shabeel-pn -
Category
Education
-
view
319 -
download
4
Transcript of Hypothyroidism 19.07.08
![Page 1: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/1.jpg)
Hypothyroidism dr shabeel’s presentations
![Page 2: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/2.jpg)
Causes
• Spontaneous atrophic
• Post ablative (131I )
• Post surgical
• Congenital
• Goitrous
– Hashimoto’s
– Drug induced
– Iodine deficiency
![Page 3: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/3.jpg)
Clinical features
• Tiredness
• Weight gain
• Hoarseness of voice
• Cold intolerance
• Bradycardia / hypertension / angina / heart failure
• Pleural / pericardial effusion
• Delayed relaxation of DTR (AJ)
![Page 4: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/4.jpg)
Contd……….
• Carpel tunnel syndrome
• Deafness / depression
• Dry coarse skin / alopecia
• Menorrhagia / impotence / infertility
• Constipation / ascites
![Page 5: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/5.jpg)
![Page 6: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/6.jpg)
![Page 7: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/7.jpg)
Investigations
• T3 , T4 – decreased
• TSH – increased
• Increased cholesterol & TGL
• ECG – low voltage / ST & T changes
![Page 8: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/8.jpg)
Management
• Thyroxin – 50-150 mcg / day
• Monitor TSH
![Page 9: Hypothyroidism 19.07.08](https://reader036.fdocuments.net/reader036/viewer/2022062418/556e0932d8b42aba5d8b4c1e/html5/thumbnails/9.jpg)