Your SlideShare is downloading. ×
0
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Thyroid gland dysfunction2.
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Thyroid gland dysfunction2.

205

Published on

CPR …

CPR
Forth Year

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
205
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. THYROID GLAND DYSFUNCTION
  • 2. Outlines  Anatomy and structure  Physiology and function  Pathology of the gland  Clinical features  Hypo/ and hyper/ thyroidism  Management
  • 3. Anatomy and structure of thyroid gland
  • 4. Tertiary Secondary Primary
  • 5. Thyroid gland dysfunction  Hormones:    Thyroxin [T4] Tri-iodo-thyronin [T 3] Calcitonin Dysfunction Hypo function-hypothyroidism  myxedema Hyper function--hyperthyroidism  Thyroid storm or crisis 
  • 6. Hypothyroidism No adequate thyroid hormones  Causes :Lack of TH as in  1- thyroid gland diseases  [ primary Hypothyroidism]  -idiopathic atrophy… . [autoimmune]  -thyroidectomy, radiation,  -iodine deficiency  2- pituitary diseases [secondary--]  3- hypothalamus diseases [tertiary…]
  • 7. Clinical features            All body functions slow down basic …..hypothermia, hypotension, hypoxia, bradycardia …. More in females, between 60—70 y Clinical p. In children------cretinism physical & mental retardation bone develop is delayed…. Teeth temperature is decreased tongue …is large skin thick…..myxedema seen later Face is broad & puffy
  • 8. In adults------hypothyr [ MYXEDEMA]  weakness, fatigue  Nonpitting ,gelatinous mucinous infiltrates beneath the skin [myxod.]  Sudden increase of weight, without increased appetite  ---- myxedema coma 
  • 9. Hyperthyroidism [thyrotoxicosis] Other names : toxic goiter, Basedow’s disease, Graves’ ,Parry’s , Plummer’s disease Excess Thyroid hormons especially T 4 & T 3  Clinical picture. :  All body functions are increased  More in females,  Between 20—40 y 
  • 10. Increased body functions CNS : nervousness , irritable, tremors  Skin : hyperpyrexia [warm] , wet  CVS : blood pre increased, tachycardia  Eye manifestation: lid retraction  Severest complications thyroid crisis 
  • 11. Clinic of hyperthr Ophthalmopathy: Lid retraction Staring exophthalmos
  • 12. CN S Nervousness Tremors disorientation
  • 13. prevention Medical history physical examination  In hypothy:-large thick tongue  thick , edematous, dry skin      In hyperthyr : -nervousness, tremors -warm,…..wet thin skin -blood pressure increased
  • 14. DENTAL considerations In hypothyroidism  ask medical advise before dent treatment  avoid CNS depressant….  take care of CVS In hyperthyroidism  ask medical advise before dent treatment  avoid atropine and adrenaline  take care of CVS NB :hypothyr is more presenting in dentistry than hyperthyroidism, so more significant .
  • 15. Management of hypothyroidism No specific manag for hypothyr…  if doubt ask medical advise  treatment by thyroid hormone  Pt. is sensitive to: sedatives, antihistamine, codeine  In unconscious patient  Terminate dental procedures  Supine position  A B C, assess and perform basic life support as needed  D : definitive management  Summoning of medical assistance  IV line: dextrose 5% or normal saline Administration of O2 massive dose of thyroid hormone in hospit for days 
  • 16. Management of hyperthyroidism In unconscious patient  Terminate dental procedures  Supine position  A B C, assess and perform basic life support as needed  D : definitive management Summoning of medical assistance Administration of O2  transport to a hospital  1- Antithyroid drugs ex propylthiouracil  2-Propranolol [blocker of the TH receptors]  3-Glucocorticoids  Cold packs, Sedatives with careful monitoring of hydration and electrolyte balance NO DRUGS ARE USED IN MANAG OF THYR DIS IN DENTAL OFFICE 
  • 17. DD altered conscious… Causes      Hyperventil Hypoglycemia and hyperglycemia Hypothyroidism and hyperthyroidism Cerebrovascular accidents Drugs and allergic reactions
  • 18. Important points in differential diagnosis       History age 0-14 : …….hypoglycemia insulin depend 14-40 hyperventilation 20-40 hyperthyroidism above 40 ….diabetes or Cerebrovascular accidents Sex female ---- hyperthyroidism
  • 19.            Stress Hyperventilation Cerebro-vascular accidents Hyperthyroidism Onset gradual: hyperglycemia [hours, days] hyperthyroidism [days, months] Cerebro-vascular accidents [/?days, weeks] rapid Hyperventilation Hypoglycemia Cerebro-vascular accidents Thyroid storm
  • 20.  Temperature & sweating Co w Hypoglycemia Hyperglycemia Hot D Co D Hypothyroidism Hyperthyroidism Hot W
  • 21. Anxiety:  Hypoglycemia  Hyperthyroidism  Hyperventilation Vital signs  Respiration rate: increased  slow hyperventilation CVA, drugs   Blood pressure:  increased hyperventilation & hyperthyroidism
  • 22.  Heart  Rate Increased Hyperventilation  Hypoglycemia  Hyperglycemia   Slow  Hypothyroidism
  • 23. ‫محطة الحجاز في دمشق‬ ‫قبل مئة عام‬ ‫اآلن‬

×