Term
| characterized by abnormally increased synthesis and secretion of thyroid hormones |
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Definition
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Term
| the most common types of hyperthyroidism |
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Definition
| graves disease and multinodular goider |
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Term
| some pts with graves disease eventually develop |
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Definition
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Term
| hyperthyroidism is caused by thyroid nodules that secrete excess thyroid hormone without |
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Definition
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Term
| may be the only symptoms in patients with a mild form of the disease |
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Definition
| wight loss and nervousness |
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Term
| in more sever cases the pt's history may reveal |
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Definition
| restlessnes, irritable behavior, sleep disturbances, emotional lability, personality changes, hair loss and fatigue, weight loss, poor heat tolerance and excessive perspiration, changes in menstrual and bowel patterns |
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Term
| assessment findings may include |
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Definition
| warm, moist, velvety skin, fine tremors of the hands, swelling of the neck, exopthalmos |
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Term
| classic sign of graves diseas |
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Definition
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Term
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Definition
| fat accumulation, edema and inflammation of the orbital contents |
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Term
| excess thyroid hormones stimulate the heart causing |
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Definition
| tachycardia, increased systolic BP, and sometimes atrial fibrillation |
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Term
| some patients with graves diseases develop skin changes that are manifested as |
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Definition
| itching and thickening on the anterior aspect of the shins |
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Term
| medical emergency requiring intensive monitoring and treatment |
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Definition
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Term
| labratory findings consistent with graves disease are |
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Definition
| decreased tsh and elevated serum t4 |
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Term
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Definition
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Term
| antithyroid drungs are more often used teporarily to lower the level of hormones in the blood before |
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Definition
| surgery or radiation therapy |
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Term
| thionamides currently in use |
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Definition
| propylthiouracil and methimazole |
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Term
| goal of thionamides is to induce a remission that will allow the drugs to be |
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Definition
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Term
| rare but serious adverse effects of thionamides |
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Definition
| hepatitis and agranulocytosis |
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Term
| a condition in which the production of neutrophils is suppressed |
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Definition
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Term
| inhibits the synthesis of thyroid hormones |
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Definition
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Term
| can be given to people who have been exposed to radiation to prevent damage to the thyroid gland |
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Definition
| saturated solution of potassium iodide |
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Term
| iodides most often used to treat hyperthyroidism |
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Definition
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Term
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Definition
| swelling and irritation of the mucous membranes and increased salivation |
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Term
| parotiditis causes the mouth to be |
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Definition
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Term
| graves disease is often treated by removing most of the |
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Definition
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Term
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Definition
| tachycardia, tachypnea, dyspnea, confusion and edema |
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Term
| a diet _____ is recommended |
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Definition
| high in calorie vitamins and minerals |
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Term
| hyperthyroid pt has a variety of eye symptoms such as |
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Definition
| double vision, periorbital edema, tearing, photosensitivity and a feeling of sand in the eyes |
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Term
| rare but serious complications |
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Definition
| airway obstruction, recurrent laryngeal nerve damge, hemorrhage and tetany |
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Term
| before the pt returns from surgery _____ must be available |
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Definition
| suction equipmen, a laryngoscope an endotrachial tube, oxygen and an emergency tracheotomy tray |
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Term
| signs and symptoms of poor oxygenation because of airway obstruction or blood loss include |
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Definition
| restlessness, increasing pulse and respiratory rates, dyspnea |
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Term
| paralysis of both vocal cords may cause spasms that |
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Definition
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Term
| signs of laryngeal nerve damage |
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Definition
| hoarseness, inability to speak |
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Term
| without PTH serum calcium level falls thus causing |
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Definition
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Term
| muscle contractions r/t tetany begin as twitches around |
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Definition
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Term
| approx 12 hours after surgery the patient in thyroid crisis shows signs of severe hyperthyroidism |
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Definition
| tachycardia, cardiac dysrhythmias, vomiting, fever, confusion |
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Term
| treatment of thyroid crisis consists of |
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Definition
| antithryoid drugs, intravenous sodium iodidem corticosteroids, beta-adrenergic blockers, antipyretic, iv fluids, o2, cooling blanket |
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