HYPOTHYROIDSM

An underactive thyroid gland; a glandular disorder resulting from insufficient production of thyroid gland

TYPES

CONGENITAL:cretinism ACQUIRED:MYXEDEMA

CLASSIFICATION

Auto immune Iatrogenic

AUTOIMMUNE

THYRODITIS CHRONIC LYMPHOCYTIC THYROID NON-GERTERIES GOITERUS HASHIMOTOS

IATROGENIC

Surgery Radiation Iodine therapy Drugs

SIGNS
bradycardia

Cold extremites
Dry skin and hair Periorbital puffiness Hoarse voice Slow movements Delayed ankel jerk Peripheral edema

SYMPTOMS
Tiredness Parathesia Mental lethargy Cold intolerance Weight gain Menstrual disturbance Constipation dyspnea

MYXOEDEMA

TYPICAL FACIAL APPEARANCE,BLOATED LOOK AND YELLOW SKIN TING

TREATMENT

Thyroxin oral tab.0.10mg to 0.20mg OD Precaution in old or cardiac patient,decrease the dose tri-idothyroxin 20microgm TDS I.V hydrocortisone 1gm divided doses and day

HYPERTHYROIDSM

DEFINITION

Hyperthyroidism is the overproduction of thyroid hormone by overactive of thyroid

CLASSIFICATION

Diffuse toxic goitre Toxic nodular goitre Toxic nodule Rare cause

DIFFUSE TOXIC GOITRE

Mostly in young patients Eye signs:opthalmic, protubing eye, diplopia,periorbitaledema

TOXIC NODULAR GOITRE

Middle aged and elder Eye sign less

SIGNS
Increased pulse even in

sleep Hot or moist palm Fine tremors Exopthalmos cardiac arrythmia

SYMPTOMS

Tiredness emotional liability weight loss heat intolerance increase appetite diarrhoea

TREATMENT

anti thyroid drugs: carbimazole:10mgTDS propylthiouracil beta adrenergic blocker iodine