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What are some sources of secondary problems in endocrine diseases?
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"the master gland"-pituitary, hypothalamus
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What is the key component of both t3/t4 (thyroid hormone)?
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Iodine
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Occurs in a baby born with hypothyroid that goes undetected
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Cretinism
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In hypothyroid babies is mental retardation/other cretinism effects reversible?
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Yes, if detected early, thyroid replacement therapy can be used and no mental retardation will occur
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Elevated cholesterol levels in hypothyroid pts can lead to?
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Heart attack and stroke
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What is the rule of thumb with hormone replacement therapy?
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"start low, and go slow"
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Exopthalamus (protuding eyeballs) is a symptom of what?
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Hyperthyroidism
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Myxedema (facial puffiness is a symptom of?
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Hypothyroidism
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In a hyperthyroid pt. is it true that even after hormone replacement therapy, as well as possible radiation, exopthalamus may be irreversible?
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Yes, interventions will reduce t3/t4 output but may not correct physical symptom
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Explain why hyperthyroidism could be detrimental in an elderly patient with atherosclerosis
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The arteries are already narrowed. The heart is pumping faster, causes the pressure to rise--this is a heart attack waiting to happen (heart is working overtime)
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The thyroid gland is stimulated by _____ from the _____ to produce t3/t4
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TSH/ anterior pituitary
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Along with stimulating t3/t4 production, TSH can sometimes stimulate growth of the thyroid; overactivation can lead to _____ (an enlarged thyroid)
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Goiter
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The pituitary is stimulated by ____ which is produced by ____ in regards to the thyroid
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TRH / hypothalamus
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A pt. is ____ and the cause is _____ if t3/t4 levels are below normal and TSH levels are above normal
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Hypo/primary
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Pt. is ______ and cause is ______ if both t3/t4 levels and TSH levels are low
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Hypo/secondary
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