for nursing students

1. ALIYA RAHMAN

2.  Inflammation of thyroid gland.
 Appears in 3 forms: acute suppurative,
subacute ( granulomatous and lumphocytic),
chronic(HASHIMOTO’S disease)

3.  Acute suppurative thyroiditis : bacterial
invasion in form of abscess in thyroid gland.
Streptococcus pyogens, staphylococcus
aureus, pneumococcus pneumoniae
 subacute thyroiditis : no etiology detected.
May be viral in orign usually follows a
respiratory respiratory tract infection.
 Chronic thyroiditis : caused by auto immune
destruction and genetic predisposition.

4.  Acute thyroidtis : state of acute infection
usually one lobe is affected than other.
Follicular destruction, cell infiltration and
colloid depletion occur
 Subacute thyroiditis have 3 phases
1. Phase 1 : begins 3-4 weeks after viral
illness. Fever malaise precede tender goitre.
Mild hyperthyroidsm seen
2. Phase 2 : mildhypothyriodsm seen due to
incomplete recovery of injured gland and
used up stored hormone. Relapses may
occur
3. Phase 3 ; recovery occurs after 2-4 months
of onset

5.  Chronic thyroiditis ; enlarged thyroid gland
with hypothyroidsm

6.  ACUTE THROIDITIS : sudden onset of
unilateral neck pain with radiation to ear or
mandible of affected side. Other signs of
infection also present.
 Subacute granulomatous thyroiditis: myalgia,
low grade fever, sore throat painful goitre,
thyrotoxicosis
 Subacute lymphocytic thyroiditis : painless
goitre, occasional hyperthyroidsm, goitre is
firm, midly enlarged and diffuse
 Chronic thyroiditis : painless assymmetrical
enlargement, dysphagia, respiratory distress

7.  History and physical examination
 TFT
 IODINE UPTAKE
 ESR
 Estimation of thyroid antibodies

8.  Medical management :
1. Acute thyroiditis – parenteral antibiotics
2. Subacute throiditis – supportive
management with NSAID, salicylates, oral
glucocrticoids
3. Chronic thyroidtis – intervention intended to
reduce the size of gland and correct thyroid
function

9.  Surgical mangement
1. I&D – acute thyroiditis not responding to
medicines
2. FNAC – rule out malignancy in chronic
thyroiditis

10.  Correct medication administration
 Discharge teaching include understating
drugs regimen to continued in home,
monitoring TFT at regular intervals.