Disorders of thyroid gland Dr. Sadaf Mumtaz 1/03/11
Anti-thyroid drugs
 
Goiter <ul><li>Enlargement of thyroid gland </li></ul><ul><li>Hypothyroidism </li></ul><ul><ul><li>Primary failure of thyr...
Hyperthyroidism <ul><li>Abnormal presence of long acting thyroid stimulators </li></ul><ul><ul><li> T3 & T4,   TSH  Yes ...
Exopthalmos <ul><li>Complex water retaining carbohydrates depoisted behind eyes </li></ul><ul><li>Degenerative changes in ...
Types of Hypothyroidism <ul><li>Endemic colloid goiter </li></ul><ul><li>Idiopathic Non-toxic colloid goiter </li></ul><ul...
Investigations <ul><li>Free thyroxine </li></ul><ul><li>BMR </li></ul><ul><li>TSH </li></ul><ul><li>TSI </li></ul>
Cretinism <ul><li>Congenital </li></ul><ul><li>Endemic </li></ul>
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Disorders of thyroid gland copy

  1. 1. Disorders of thyroid gland Dr. Sadaf Mumtaz 1/03/11
  2. 2. Anti-thyroid drugs
  3. 4. Goiter <ul><li>Enlargement of thyroid gland </li></ul><ul><li>Hypothyroidism </li></ul><ul><ul><li>Primary failure of thyroid gland </li></ul></ul><ul><ul><ul><li> T3 and T4,  TSH Yes </li></ul></ul></ul><ul><ul><li>Secondary to hypothalamic or anterior pituitary failure </li></ul></ul><ul><ul><ul><li> T3 and T4,  TRH & TSH No </li></ul></ul></ul><ul><ul><li>Lack of dietary iodine </li></ul></ul><ul><ul><ul><li> T3 & T4,  TSH Yes </li></ul></ul></ul>
  4. 5. Hyperthyroidism <ul><li>Abnormal presence of long acting thyroid stimulators </li></ul><ul><ul><li> T3 & T4,  TSH Yes </li></ul></ul><ul><li>Secondary to hypothalamic or anterior pituitary secretion </li></ul><ul><ul><li> T3 & T4,  TRH & TSH Yes </li></ul></ul><ul><li>Hypersecreting thyroid tumor </li></ul><ul><ul><li> T3 & T4,  TSH No </li></ul></ul>
  5. 6. Exopthalmos <ul><li>Complex water retaining carbohydrates depoisted behind eyes </li></ul><ul><li>Degenerative changes in extra-ocular muscles </li></ul>
  6. 7. Types of Hypothyroidism <ul><li>Endemic colloid goiter </li></ul><ul><li>Idiopathic Non-toxic colloid goiter </li></ul><ul><ul><li>Mild thyroiditis </li></ul></ul><ul><ul><li>Deficiency of enzymes </li></ul></ul><ul><li>Myxedema </li></ul><ul><ul><li>Gel nature of excess fluid which is immobile </li></ul></ul><ul><ul><li>Edema is non-pitting </li></ul></ul><ul><li>Athersclerosis </li></ul>
  7. 8. Investigations <ul><li>Free thyroxine </li></ul><ul><li>BMR </li></ul><ul><li>TSH </li></ul><ul><li>TSI </li></ul>
  8. 9. Cretinism <ul><li>Congenital </li></ul><ul><li>Endemic </li></ul>
  9. 10. Thanks

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