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PRIMARY HYPERTHYROIDISM
GROUP 6:
A Q U I N O, T R I S TA N J OY
B O L IVA R , K R I S T IN E J OY
C A N L A PA N , K AT R I N A
TAYA G , J O H N M A R L O
INTRODUCTION
Thyroid gland Thyroxine (T4) and
Triiodothyronine (T3)
control bodymetabolism
Hyperthyroidism - excess of circulating thyroid
hormone
Thyrotoxicosis - group of syndromes; high levels
of free thyroid hormone in the circulation
Graves disease - most common cause of
thyrotoxicosis or hyperthyroidism, especially in
children
CASE SUMMARY
11-year-old girl
weight loss, heat intolerance and
experienced a decline in grades at school
no significant past medical history but both
of her grandmothers had a thyroid disease
Thyroid function tests results: increased free
thyroxine (T4), increased total
triiodothyronine (T3) and decreased thyroidstimulating hormone (TSH).
CASE SUMMARY
Signs
Tremor
Warm, moist, flushed, smooth skin
Ophthalmopathy (Graves disease)
Goiter
Brisk deep tendon reflexes
Signs
Muscle wasting and weakness
Dermopathy/pretibial myxedema (Graves
disease)
Tachycardia
Lid lag, widened palpebral fissures
Goiter
Osteopenia, osteoporosis
Symptoms
Nervousness, irritability, anxiety
Tremor
Palpitations
Fatigue, weakness, decreased
exercise tolerance
Symptoms
Weight loss
Heat intolerance
Prominence of eyes
Hyperdefecation
Menstrual changes (oligomenorrhea)