Overactive Thyroid or Hyperthyroidism

Hyperthyroidism (Overactive Thyroid): Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. TSH (thyroid-stimulating hormone) and fT3 (triiodothyronine) and fT4 (thyroxine). TRH-TSH test – thyroid function diagnostics. Primary hyperthyroidism Secondary hyperthyroidism* TSH ↓ ↑ /normal fT3, fT4 ↑ ↑ * The most common cause of sec. Hyperthyroidism is a tumor (adenoma). Latent hyperthyroidism Manifest hyperthyroidism TSH ↓ ↓ fT3, fT4 (still) within … Hyperthyroidism (Overactive Thyroid): Test and Diagnosis

Hyperthyroidism (Overactive Thyroid): Medical History

Medical history (history of illness) represents an important component in the diagnosis of hyperthyroidism (hyperthyroidism). Family history Is there a frequent history of thyroid disease in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). What symptoms have … Hyperthyroidism (Overactive Thyroid): Medical History

Hyperthyroidism (Overactive Thyroid): Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Autoimmune thyroiditis (Hashimoto’s thyroiditis) – autoimmune disease of the thyroid gland; initially with increased secretion of thyroid hormones, later with gradual transition to hypothyroidism (hypothyroidism). Hyperthyroidism with decreased or absent uptake in the thyroid scintigram. Hyperthyroidism factitia – overdose of thyroid hormones. Marine-Lenhart syndrome – simultaneous occurrence of nodular … Hyperthyroidism (Overactive Thyroid): Or something else? Differential Diagnosis

Hyperthyroidism (Overactive Thyroid Gland): Complications

The following are the most important diseases or complications that can be caused by hyperthyroidism (overactive thyroid): Eyes and eye appendages (H00-H59). Corneal damage due to dehydration in the absence/incomplete closure of the eyelids. Optic nerve compression – high pressure on the optic nerve can lead to visual impairment or blindness Endocrine, nutritional, and metabolic … Hyperthyroidism (Overactive Thyroid Gland): Complications

Hyperthyroidism (Overactive Thyroid): Classification

Hyperthyroidism is classified according to symptoms into: Subclinical (latent) hyperthyroidism – asymptomatic (with no apparent symptoms). Clinical hyperthyroidism – hyperthyroidism associated with symptoms. Hyperthyroidism is classified according to the location of the disorder into: Primary hyperthyroidism – “true” hyperthyroidism. Manifest form – elevation of free triiodothyronine (fT3) and/or free thyrosine (fT4) above the upper normal … Hyperthyroidism (Overactive Thyroid): Classification

Hyperthyroidism (Overactive Thyroid): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing) of skin and mucous membranes [wg. Sweating, warm and moist skin Palmar erythema – red coloration of the palms. Tremor (shaking) Endocrine orbitopathy (EO, protrusion of … Hyperthyroidism (Overactive Thyroid): Examination

Hyperthyroidism (Overactive Thyroid): Drug Therapy

Therapeutic target Achieve a euthyroid metabolic state (= thyroid levels in the normal range). Therapy recommendations Hyperthyroidism Thyrostatic agents (drugs that inhibit thyroid function: thiamazole, carbimazole) because of hyperthyroidism in Graves’ disease and autonomy M. Graves’ disease: one-year (to one and a half years) thyrostatic therapy. SD autonomy: hyperthyroidism is treated with medication only until … Hyperthyroidism (Overactive Thyroid): Drug Therapy

Hyperthyroidism (Overactive Thyroid): Diagnostic Tests

Mandatory medical device diagnostics. Thyroid ultrasonography (ultrasound examination of the thyroid gland) – as a basic examination to determine the size of the thyroid gland and any tissue irregularities, such as nodules Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for … Hyperthyroidism (Overactive Thyroid): Diagnostic Tests

Hyperthyroidism (Overactive Thyroid): Micronutrient Therapy

A risk group indicates the possibility that the disease may be associated with the risk of vital nutrient deficiency. The complaint hyperthyroidism indicates a vital nutrient deficiency for: Vitamin B2 Vitamin C Magnesium The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high … Hyperthyroidism (Overactive Thyroid): Micronutrient Therapy

Hyperthyroidism (Overactive Thyroid): Prevention

To prevent hyperthyroidism (hyperthyroidism), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Tobacco (smoking) Psycho-social situation Stress Prophylaxis of iodine-induced hyperthyroidism by iodine-containing contrast media “Prophylaxis of iodine-induced hyperthyroidism: administration of 900 mg sodium perchlorate daily, plus optionally 10-20 mg/d thiamazole at least 2-4 hours before contrast administration … Hyperthyroidism (Overactive Thyroid): Prevention

Hyperthyroidism (Overactive Thyroid): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hyperthyroidism (overactive thyroid): Leading symptoms Basal metabolic rate Increase in body temperature → heat intolerance or hypersensitivity to heat (thermophobia). Sweating including night sweats (night sweats). Moist warm skin Weight loss (despite increased appetite) Cardial (cardiovascular) Tachycardia – heartbeat too fast: > 100 beats per minute [cardiac output … Hyperthyroidism (Overactive Thyroid): Symptoms, Complaints, Signs