It is a symptom complex caused by excessive secretion of thyroid hormone. This condition is also called overactive thyroid.
This condition can make your metabolism speed up.
Hyperthyroidism can also lead to your thyroid gland swelling. This condition is called Goiter.
CAUSES
• Grave’s disease or diffuse toxic goiter 7.5
• Toxic multinodular goiter 14%
• Solitary toxic nodule
• Iodine induce
• De Quervain’s disease
• Struma ovarii
• Follicular carcinoma
GRAVE’S DISEASE:
Diffuse with or without bruit
SYMPTOMS
GI SYSTEM:
• Diarrhoea
• Weight loss
• Normal or increase appetite
• Hyper dedication
• Stetoria
• Anorexia ( Elderly patients)
• Vomiting
CARDIO RESPIRATORY:
• Palpitation
• Sinus trachycardia
• Increase Steeling pulse rate
• Water hammer pulse
• Ankle oedema – Pitting
• Carotid Dance
• Angina
• Cardiomyopathy
• Cardiac failure
• Systolic murmur over the apex
• Apex Hyper dynamic
NEURO MUSCULAR:
• Nervousness
• Insomnia
• Irritability
• Perspiration
• Tremour
• Hyper reflexia
• Planter flexion
• Muscle weakness
• Proximal myopathy
DERMATOLOGICAL:
• Increase Sweating
• Alopecia
• Vitiligo
• Hypo and hyper pigmentation
• Pretibial myxedema
••REPRODUCTIVE:
• Amenorrhoea
• Infertility
• Spontaneous Abortion
• Loss of livido
EYE:
• Dalrymple Sign
• Von graffe’s sign
• Moebius Sign
• Stellwag sign
• Papilledema
• Corneal Laceration
OTHER SYMPTOMS
• Fatigue
• Gynecomastia
• Heart intolerance
• Apathy
COMPLICATION
• Thyroid Strome
• B 12 deficiency
INVESTIGATION
•BLOOD:
T3, T4 – Increase
TSH ( thyroid stimulating hormone) – Decrease
I 131 – Increase
•XRAY:
Cardiomegally
•ECG:
ST depression – Feature of atrial fibrillation
•FNAC of thyroid
•Thyroid Ultrasound
•Thyroid scan
•Medications (Anti thyroid):
• Carbimazole
• Methimazole
• Propylthiouracil
• BETA blockers
•Surgery:
Thyroidectomy
HOME MANAGEMENT
• Intake low iodine diet
• Lemon balm
• Avoid
Iodized salt
Seafood
Dairy products
High amouts of beef or pultry
Hight amouts of bread, pasta, pastries
Egg yolks
