ARTICLE ON THYROID

CASE POSSIBLE DISEASE SYMPTOMS CAUSES Other info

LOW TSH Primary Diarrhea Tender Thyroid doesnt detect TSH: Rare Case for Hyperthyroidism (usually an
RAISED Free T3/T4 Hyperthyroidism Weight loss Gravesdisease autoimmune disease)
Thyrotoxicosis Anxiety - Developed during anti T-cell Familial Gestation Hyperthyroidism (kapag
Increased immunotherapy preggerz ka) and Silent Thyroiditis
sweating Multinodular Goiter - Happens during 1st trimester of
Hair loss - Based on Jod Basedow Effect pregnancy
(Hyperthyroid from administering Vomiting stimulates TSH receptor
iodine on patient) Stimulation due to increase
Toxic Nodule chorionic gonadotrophin
concentrations
Another Cause: - K183R Mutation
Low Radioiodine Uptake The reason behind the increase in
- Causes Thyroiditis chorionic gonadotrophin
Tender thyroid with increased concentration
erythrocyte sedimentation Summary:
Subacute Thyroiditis K183R Mutation inc. chorionic chu chu
- Causes Thyrotoxicosis stimulates TSH receptor vomiting familial
Causes ectopic thyroid tissue gestation Hyperthyroidism
(struma ovarii)
Amiodarone therapy Ectopic - tissue in place that shouldnt be
(amiodarone is a drug that helps fix Struma Ovarii tissue in ovary producing
the irregular heartbeat) thyroid hormones causing hyperthyroidism

LOW TSH Subclinical Primary Osteoporosis Thyroxine ingestion Usual Case:

NORMAL Free T3/T4 Hyperthyroidism Atrial Steroid Therapy
Multinodular fibrillation - Suppresses TSH
Goiter - Infuses dopamine and dobutamine
- Causes osteoporosis and atrial
fibrillation

LOW/NORMAL TSH Secondary Medical Congenital TRH deficiency Usual Case:

LOW free T3 or T4 Hypothyroidism history - Congenital means present since birth Thyrotoxic
Non-thyroidal - Suppresses TSH kaya low
disease
Pituitary Disease
 Primary Inflamed Hashimotos Thyroidism also known as
RAISED TSH Hypothyroidism thyroid Atropic Thyroiditis (autoimmune disease)
LOW Free T3 or T4 - Depicts inflamed thyroid due to
aggression of immune system on
thyroid
Radioactive Iodine Therapy
- Usually undergone by people with
cancer
- Destruction of T3 or T4 Cells kaya low
Lithium based medicine (leads to
hypothyroidism)
- Taken in by depressed and bipolar ppl
- Slows down production of T3 and T4
kaya low

RAISED TSH Subclinical Mild to no Autoimmune Hypothyroidism A Mild Hypothyroidism

NORMAL free T3 or Hypothyroidism fatigue
T4 Cold
intolerance
Weight gain
Depression
Memory
problems
NORMAL or RAISED Rare condition Histories of tumor in pituitary 2 Rare conditions
TSH Histories of thyroid hormone resistance 1. Inability of thyroid hormone receptor to
RAISED free T3 or T4 bind with a ligand (T3)
2. Tumor in Pituitary gland
- Tumor responsible for increased TSH in
blood stream
- Acquired thru fam history