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Hyperthyroidism Management
- See Also
- Medications: Antiadrenergic Medications
- Indications
- Thyroiditis
- Concurrent initially with ablation, PTU/MTZ, surgery
- Symptomatic control
- Controls Tremor, Palpitations, nervousness
- Beta Blockers (non-selective preferred)
- Propranolol
- Start: 10-20 mg PO q6 hours
- Advance to 20 to 80 mg PO q6 hours
- Propranolol
- Diltiazem (Cardizem)
- Alternative if Beta Blockers not tolerated
- Indications
- Medications: Antithyroid Medications
- Indications
- Hyperthyroidism in children and adolescents
- Pregnancy (PTU)
- Severe Grave's Disease
- Antithyroid Medications
- Methimazole 15-30 mg per day
- Propylthiouracil (PTU) 100-200 mg PO tid
- Indicated in pregnancy
- Monitoring
- See Antithyroid Medications
- Indications
- Management: Ablation
- Radioactive Iodine
- Management of choice for Grave's Disease of all ages
- Recurrent Hyperthyroidism after Antithyroid Drugs
- Toxic Multinodular Goiter
- Toxic Nodule in patient over age 40 years
- Subtotal Thyroidectomy
- Monitoring after ablation
- Thyroid Stimulating Hormone may not be accurate
- Follow Free T4, Free T3 to base Thyroid Replacement
- Radioactive Iodine
- References
Hyperthyroidism (C0020550) | |
|---|---|
| Definition (MSH) | Hypersecretion of THYROID HORMONES from the THYROID GLAND. Elevated levels of thyroid hormones increase BASAL METABOLIC RATE. |
| Definition (CSP) | excessive functional activity of the thyroid gland. |
| Definition (NCI) | Too much thyroid hormone. Symptoms include weight loss, chest pain, cramps, diarrhea, and nervousness. |
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 242.9 |
| MSH | D006980 |
| English | Hyperthyroidism, Overactive Thyroid |
| Spanish | hipertiroidismo |
| Parent Concepts | Former or Present Systemic Disease (C0150840), Concomitant or past diseases (C0150941), Rheumatic illness with extraarticular and/or constitutional features (fever, rash, pleurisy,etc) OR Systemic illness with rheumatic manifestation (C0221589), Thyroid Diseases (C0040128), Thyroid dysfunction (C0348024), Non-Neoplastic Endocrine Disorder (C1335007), Non-Neoplastic Thyroid Gland Disorder (C1335047), cancer-related problem/condition (C0280950) |
| Sources | AIR, AOD, COSTAR, CSP, CST, DXP, LCH, LNC, MEDLINEPLUS, MSH, MTHICD9, NCI, NDFRT, OMIM, PDQ, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
