Thyroid Gland

Thyroiditis (Thyroid Gland Inflammation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate acute thyroiditis: Leading symptoms Acute onset Pain in the area of the thyroid gland Fever If necessary, swelling of the regional lymph nodes. The following symptoms and complaints may indicate thyroiditis de Quervain (subacute thyroiditis): Leading symptoms Flu-like symptoms may be preceded by. Acute sore throat, initially unilateral … Thyroiditis (Thyroid Gland Inflammation): Symptoms, Complaints, Signs

Thyroiditis (Thyroid Gland Inflammation): Causes

Pathogenesis (disease development) of acute thyroiditis Acute suppurative thyroiditis is caused by infection with bacteria, viruses, fungi, etc. Most often, the cause is a piriform sinus, a developmental remnant. In older individuals, a long-standing goiter or thyroid tumor may be causative. Etiology (causes) of acute thyroiditis Disease-related causes Infectious and parasitic diseases (A00-B99). Bacterial infections, … Thyroiditis (Thyroid Gland Inflammation): Causes

Hyperthyroidism (Overactive Thyroid)

In hyperthyroidism (synonyms: Hyperthyroidism; Hyperthyroidism; Thyroid hormone toxicity; Hyperthyroidism; Thyrotoxicosis; ICD-10-GM E05.9: Hyperthyroidism, unspecified) is hyperthyroidism due to multiple causes. The most important cause is Graves’ disease, which is responsible for 60-80% of all hyperthyroidism. Other causes include thyroid autonomy (independent thyroid hormone production) and iodine-induced hyperthyroidism (exogenous intake of iodine in high amounts). Hyperthyroidism … Hyperthyroidism (Overactive Thyroid)

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

Graves’ Disease: Diagnostic Tests

Obligatory medical device diagnostics. Thyroid ultrasonography (ultrasound examination of the thyroid gland) – as a basic examination to determine thyroid size and volume and any structural changes such as nodules[M. Graves’ disease: goiter with diffuse echo-poor, signs of infiltration are seen as homogeneous internal structures; in the Duplexsonographe shows increased vascularization / vascular proliferation or … Graves’ Disease: Diagnostic Tests

Graves’ Disease: Surgical Therapy

1st order Subtotal thyroidectomy – removal of the main part of the thyroid gland. Indications: in case of large thyroid gland (large strumen), suspected malignant (malignant) change of thyroid gland or personal refusal of radioiodine therapy. Furthermore, surgery is considered if symptoms do not improve or recurrence occurs after therapy with thyrostatic drugs. Total thyroidectomy … Graves’ Disease: Surgical Therapy