Condition Info - BotMed Application

ConditionName

Hyperthyroidism

ConditionDescription

Symptoms

Heat intolerance; Hyperactivity; 
Oily skin – 5%;
Anxiety;
Weight loss;
Eyes proptosis (20-40%) – exophthalmos;
Inability to sleep, tremors;
Diarrhea, sweating

PhysicalFindings

Lid lag; 
Fine thing hair; 
Tachycardia; 
Palpitation; 
Hyperreflexia;
Palmar erythema; 
Pretibial myxedema (non pitting);
Thyroid bruit;

ClinicalTests

T4 high; T3 high; TSH low
Elevated radioactive iodine uptake test
TSH receptor AB
TSI antibody in serum – 95%
Free T4 – best marker for graves
Painless goiter
High uptake on thyroid scan

RiskFactors

Pernicious anemia;
Myasthenia Gravis;
Diabetes;
Women 4th decade;
Medication: corticosteroids, and some centrally acting drugs (such as domperidone, metoclopramide) dopamine;

IsRedFlag

IsNPLEX

Consequence

Nervous system; 
Cardio system: Angina, CHF; Atrial fibrillation

ProgressionFromCondition

TreatmentOptions

PharmOptions

BB
Steroids
Radiation with radioactive iodine – not for active stage of dz
Decompressive surgery to prevent blindness
Propylthiouracil 
Surgery – for pregnant patient with not controlled Graves with medication

WebLink

https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/hyperthyroidism?query=Hyperthyroidism