Uptick in subclinical hyperthyroidism?
Over the last 6 months, I have diagnosed more new onset subclincal hyperthyroidism cases than I have ever seen. It is at least 4 fold. at least. Repeat TSH confirms original findings. Normal T3/FT4. We use several labs around town, all with the same findings.
Is anyone else noticing this as well? (Source: Student Doctor Network)
Source: Student Doctor Network - July 24, 2023 Category: Universities & Medical Training Authors: FrustratedFamDoc Tags: Family Medicine Source Type: forums
Interesting case
Had an interesting learning case present to the OR today. Would be curious to hear other's thoughts.
70 year old F with h/o Graves disease, non ischemic cardiomyopathy with HFrEF (EF 10-15%), paroxysmal Afib currently in NSR that presents for total thyroidectomy with slow ENT surgeon. She is on hospital day 5.
Medical Hx:
Hyperthyroid/Graves disease: on PTU. Had previously failed methimazole due to agranulocytosis. TSH undetectable, fT4 1.6 (normal 0.8-1.4). Endocrinology consulted, does...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 4, 2022 Category: Universities & Medical Training Authors: fathead88 Tags: Anesthesiology Source Type: forums
Re: New diagnosis of hyperthyroidism in primary care
(Source: BMJ Comments)
Source: BMJ Comments - September 18, 2018 Category: General Medicine Source Type: forums
Do you refer to a specialist for the following conditions?
Just trying to find out the comfort level of FM docs on this board , feel free to just answer Y or N to the following
DO you manage the following yourself , refer to specialist , or co-manage
1-PROTIENURIA in a non-diabetic , cause unknown
2-ELEVATED LFTS in nonalcoholic and cause unknown on initial workup
3-THROMBOCYTOPENIA in absence of any secondary causes
4-prescribe METHOTREXATE or other DMRDs
5-HYPERTHYROIDISM meds like methimazole
6-FIRST TIME SEIZURES WORKUP, start ,...
Do you refer to a specialist for the following conditions? (Source: Student Doctor Network)
Source: Student Doctor Network - May 15, 2018 Category: Universities & Medical Training Authors: scharnhorst Source Type: forums
How does hyperthyroidism cause diarrhea?
According to Robbin's Pathology, hyperthyroidism leads to an overactivity of the sympathetic system.
It also goes on to mention that this sympathetic hyperstimulation in the gut leads to increased motility leading to diarrhea and malabsorption.
How would sympathetic stimulation cause hypermotility? Isn't the parasympathetic system responsible for it?
Also, how does hyperthyroidism increase the sympathetic tone? (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2017 Category: Universities & Medical Training Authors: Polycherry Source Type: forums
MCAT practice questions
by goldstandard_mcat (Posted Sun Dec 14, 2014 7:07 am)The plasma proteins that bind thyroid hormones are albumin, a prealbumin called thyroxine-binding prealbumin (TBPA), and thyroxine-binding globulin (TBG). The free thyroid hormones in plasma are in equilibrium with the protein-bound thyroid hormones in the tissues. Free thyroid hormones are added to the circulating pool by the thyroid. It is the free thyroid hormones in plasma that are physiologically active (increasing the metabolic rate) and imbalances in these hormones result in thyroid disease. In thyroid storm, a form of hyperthyroidism, the normal body temperature...
Source: Med Student Guide - December 14, 2014 Category: Universities & Medical Training Source Type: forums
