Hyperthyroidism
Too active thyroid gland.
Important types:
1 – Graves disease: autoimmune disease. The body produce
antibodies stimulate thyroid gland to secrete more thyroxine.
2 – Thyroiditis.
3- Enlargement of the thyroid gland.
4 – Hot nodules in the gland: secrete more thyroxine.
Symptoms :
1 – Nervousness.
2 – Irritability.
3 – Weight loss.
4 – Tachycardia.
5 – Irregular heartbeats.
6 – Shaking hands and fingers.
7 – Profuse sweating.
8 – Sensitivity to heat.
9 – Diarrhea.
10 – Change in menstruation.
11 – Fatigue.
12 – Muscle weakness.
13 – Difficult sleep.
Signs:
1 – Thyroid nodules.
2 – Tremors.
3 – Hyperactive reflex.
4- Tachycardia.
5 – High systolic blood pressure.
Investigations:
A – Laboratory:
1 – High T 3.
2 – High T4.
3 – Low TSH.
B – Ultrasonic scan:
Show the hot cysts.
C – Atomic scan:
Show the hot part of the gland.
Treatment:
A – Antithyroid medications: Drugs collected at the thyroid
gland suppress thyroxin secretion.
B- Radioactive iodine: collected at the thyroid gland and destroy
the thyroid tissue.
C – Surgical removal of a part of the gland.
D- Beta blockers as Propranolol to treat the symptoms.
Case no.1:
A man 35 years complain from tachycardia, irregular beats, lose
weight and fatigue. When we examine we found the temperature
37.5°C, blood pressure 140/80, pulse 105/min.
A – What are the symptoms the doctor does not ask the
patient on it?
B – What are the signs does not shown by the doctor?
C -What are the investigations you need to diagnose the
case?
D - What is the diagnosis?
E - What is the plan for management?
F - What is the mistakes may be done by the medical staff
can lead to delayed healing?