Professional Documents
Culture Documents
Hypo Thyroid Is M
Hypo Thyroid Is M
Hypo Thyroid Is M
TYPES OF HYPOTHYROIDISM
I. PRIMARY OR THYROIDAL - 95 %;
dysfunction of the thyroid gland itself
II. CENTRAL - failure of the pituitary gland,
the hypothalamus, or both
III. SECONDARY- entirely a pituitary disorder
IV. TERTIARY OR HYPOTHALAMIC - disorder of
the hypothalamus resulting in inadequate
secretion of TSH due to decreased
stimulation of TRH
V. NEONATAL - thyroid deficiency is present at
birth
Later S/Sx:
Stuporous
Respiratory Depression (Alveolar
Hypoventilation, Progressive CO2 Retention);
Hypoventilation
Narcosis
Hyponatremia
Hypoglycemia
Hypotension
Bradycardia
Cardiovascular Collapse/ Shock
Coma
ASSESSMENT FINDINGS: Precipitating factors:
CLINICAL MANIFESTATIONS: Infection
Systemic Diseases
Use of Sedatives or Opioid analgesic agents
Cold: winter season (old women)
INITIAL S/SX:
Medication that can alter result:
estrogens, androgens, salicylates,
phenytoin, anticoagulants, or
corticosteroids
Normal : 25% to 35% (relative uptake
fraction: 0.25 to 0.35
5. Thyroid Antibodies : Thyroid Peroxidase
Antibodies (TPOAb) & Thyroglobulin
Antibodies (TgAb)
Results of testing by immunoassay
techniques for antithyroid antibodies
are positive in chronic autoimmune
thyroid disease (90%)
Hashimoto’s Disease
Thyroid Peroxidase (TPO) is an enzyme
involved in the production of thyroid
hormones.
Thyroglobulin is a protein produced by
the thyroid gland that is involved in the
synthesis of thyroid hormones
2. Patient Education: