Nursing 3910A/B Lecture Notes - Lecture 9: Bundesautobahn 45, Exophthalmos, Heart Failure
8 Dec 2016
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Diversity of sources and the five year rule. Due to widespread effects of endocrine system, wide variety of s&s occur (can make diagnosis difficult) Thyroid rich in blood supply to facilitate quick uptake of hormone. Thyroid produces thyroxine (t4), triiodothyronine (t3), and calcitonin. When identified, disorders of the thyroid are treatable and correctable. Tsh works on a negative feedback loop (main step) 2% of adult women, less in men. Subclinical (unaware of symptoms) to extreme (myxedema coma) Most (cid:272)o(cid:373)(cid:373)o(cid:374) (cid:272)ause = autoi(cid:373)(cid:373)u(cid:374)e/ hashi(cid:373)oto(cid:859)s disease. 95% dysfunction of thyroid gland, otherwise pituitary gland. Synthroid, levothyroxine: treatment based on: tsh levels, should normalize after treatment. Cardiac dysfunction: elevated cholesterol, atherosclerosis, cad, poor left vent. Body needs higher oxygen demand so that increases the workload demand of the heart. Second most common endocrine disease, after diabetes. Graves (most common cause) dx = 50 80% of cases excessive th immunoglobulins. May appear after shock, stress, infxn, though poorly understood.
