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Hypothyroidism  dr shabeel’s presentations
Causes  <ul><li>Spontaneous atrophic  </li></ul><ul><li>Post ablative ( 131 I ) </li></ul><ul><li>Post surgical </li></ul>...
Clinical features <ul><li>Tiredness  </li></ul><ul><li>Weight gain </li></ul><ul><li>Hoarseness of voice  </li></ul><ul><l...
Contd………. <ul><li>Carpel tunnel syndrome  </li></ul><ul><li>Deafness / depression  </li></ul><ul><li>Dry coarse skin / alo...
 
 
Investigations  <ul><li>T3 , T4 – decreased  </li></ul><ul><li>TSH – increased  </li></ul><ul><li>Increased cholesterol & ...
Management  <ul><li>Thyroxin – 50-150 mcg / day </li></ul><ul><li>Monitor TSH </li></ul>
 
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Hypothyroidism 19.07.08

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Hypothyroidism 19.07.08

  1. 1. Hypothyroidism dr shabeel’s presentations
  2. 2. Causes <ul><li>Spontaneous atrophic </li></ul><ul><li>Post ablative ( 131 I ) </li></ul><ul><li>Post surgical </li></ul><ul><li>Congenital </li></ul><ul><li>Goitrous </li></ul><ul><ul><li>Hashimoto’s </li></ul></ul><ul><ul><li>Drug induced </li></ul></ul><ul><ul><li>Iodine deficiency </li></ul></ul>
  3. 3. Clinical features <ul><li>Tiredness </li></ul><ul><li>Weight gain </li></ul><ul><li>Hoarseness of voice </li></ul><ul><li>Cold intolerance </li></ul><ul><li>Bradycardia / hypertension / angina / heart failure </li></ul><ul><li>Pleural / pericardial effusion </li></ul><ul><li>Delayed relaxation of DTR (AJ) </li></ul>
  4. 4. Contd………. <ul><li>Carpel tunnel syndrome </li></ul><ul><li>Deafness / depression </li></ul><ul><li>Dry coarse skin / alopecia </li></ul><ul><li>Menorrhagia / impotence / infertility </li></ul><ul><li>Constipation / ascites </li></ul>
  5. 7. Investigations <ul><li>T3 , T4 – decreased </li></ul><ul><li>TSH – increased </li></ul><ul><li>Increased cholesterol & TGL </li></ul><ul><li>ECG – low voltage / ST & T changes </li></ul>
  6. 8. Management <ul><li>Thyroxin – 50-150 mcg / day </li></ul><ul><li>Monitor TSH </li></ul>

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