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Mark Klimek Lecture Notes

Lecture 7 Endocrine Glands

Only about thyroids and adrenals

Hyperthyroidsm- metabolism because that’s what the thyroid does- regulates metabolism

Logical set of signs and symptoms with high metabolic weight? Weight loss, skinny, high pulse, high BP, irritable, obnoxious, heat intolerance, and cold tolerance, exophthalmos (bulging eyes) Graves disease=hyperthyroid= you’re going to run yourself into the grave

Treatment: radioactive iodine

1) Pt should be alone for 24 hours 2) Need to be careful with urine (flush three times, hazmat team to clean up spilled urine) because the radioactivity is excreted here …urine is hazardous to nurses 3) No family visitation for 24 hours, home restriction 1 / 2

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More treatments:

1) PTU: propylthiouracil

-hyperthyroid- lowers PUTS THYROID UNDER -primary use is for cancer but also hyperthyroids -immunosupression- need to watch WBC-

2) Thyroidectomy- remove all or part of it- total or sub -totals: need life long hormonal replacement and at risk for hypocalcemia because its almost impossible to spare the parathyroids when you take the thyroid out so you end up with low parathyroids and low calcium

Signs and symptoms of hypocalcemia –opposite, everything Is going to go up

• signs- chvostek’s and trousseau’s
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