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HYPOTHYROIDISM
DEFINITION :
A CONDITION THAT IS CAUSED BY EITHER
ABSOLUTE OR RELATIVE DECREASE OF
HORMONE T3 AND T4 WITH ITS
CONSEQUENCES, DUE TO IMPAIRED
THYROID GLAND FUNCTIONS
PRIMARY
HYPOTHYROIDISM
PERMANENT
1.Thyroid dysgenesis
- Aplasia
- Hypoplasia
- Ectopic thyroid
2.Dyshormogenesis
3.Maternal medica tion of radioiodine
4.Autoimmun thyroiditis
PRIMARY
HYPOTHYROIDISM
TRANSIENT
1.Maternal medication
- Goitrogen
- iodine containing
drugs
2.Using iodine for
antiseptic
3.Transplacental
passage of anti
thyroid from mother
SECONDARY
HYPOTHYROIDISM
Because of decreased
TSH as congenitall
midbrain development
defect, itself or with GH
and ACTH deficiency
WEAKER
LOW DESIRE
TO DRINK
LOWER
MUSCULA
R TONE
MORE SLEEPS
DIFFICULT
BOWEL
ACTION
LATER
DEVELOPING & GROWING
OF IDIOT FACE, EDEMA,
LARGE TONGUE
DELAYS IN ABILITIES
TO SIT, STAND, WALK,
SPEAK, AND CONTACT
WITH OTHERS
CONSTIPATION
HYPOACTIVE
HYPOTONIA
HERNIA UMBILICALIS
LARGE TONGUE
SKIN MOTTLING
SKIN DRYNESS
1.5
1.5
CHARACTERISTIC FACE
TOTAL
13
ETIOLOGY OF
ACQUIRED HYPOTHYROIDISM
PRIMARY :
DUE TO
THYROIDECTOMY
IRRADIATION,
IODINE
RADIOACTIVE
AUTOIMMUNE
THYROIDITIS
SECONDARY :
TSH deficiency
(trauma,
tumor,infection)
Endemic iodine
deficiency
Goitrogen
Resistence to thyroid
hormones
Other causes :
chromosomal
disorders, cystinosis
SIGNS :
US/LS RATIO
DELAYED DENTAL
ERUPTION
MYXEDEMA
GOITER
DELAYED REFLEX
FLAT FACIAL
EXPRESSION
FAINT, THICK, AND
COLD SKIN
MUSCULAR PSEUDOHYPERTROPHY
DELAYED PUBERTY
PRECOX PUBERTY
DIAGNOSIS
CLINICAL SYMPTOMS
LABORATORY EXAMINATIONS :
- ROUTINE
- TSH
- T3
- T4
SUPPORTIVE EXAMINATIONS :
- THYROID SCANNING
- BONE AGE
HYPERTHYROIDISM
FREE T4
NORMAL
HIGH
FREE T3
NORMAL
TSH
NORMAL
SUBCLINICAL
HYPERTHYROIDISM
EUTHYROIDISM
NORMAL
HIGH
T3 TOXICOSIS
SUBCLINICAL
HYPOTHYROIDISM
FREE T4
LOW
HYPOTHYROIDISM
TREATMENT
CONGENITAL
HYPOTHYROIDISM
- NEONATAL
ACQUIRED
HYPOTHYROIDISM
IN ACCORDANCE
SCRINNING TEST
- EARLIEST
NORMAL CHILD
GROWTH & DEVELOPMENT
TO THE ETIOLOGY
GROWTH
PERIODE
FETUS
ABORTION
PERINATAL DEATH
CONGENITAL
DEFORMITIES
NEWBORN INFANT
THYROID GLAND
ENLARGEMENT
CHILD/ADOLES
CENCE
GOITER
HYPOTHYROIDISM
NEONATAL
HYPOTHYROIDISM
MOTOR FUNCTION
IMPAIRMENT
CRETINISM
PHYSICAL
GROWTH
IMPAIRMENT
NERVOSA
TYPE
MENTAL RETARDATION
DEAF & DUMB
IMPAIRED ABILITY IN WALK &
STEP
ENDEMIC
CRETINE
MYXEDEMA
TYPE
DUMB
NERVOUS IMPAIRMENT
HYPOTHYROIDISM
SEVERE
IODINE
DEFICIENCY
MYXEDEMA
SHORT STATURE
DELAYED PUBERTY
PREVENTION
AND
Screening
Neonatal
Hypothyroid
TREATMENT
Na L
thyroxine
Iodine