Important notes about thyroid disorers

Important notes about thyroid disorers

1- Any sub-clinical hypothyroidism must be treated in pregnancy

2- Hyperthyroid state+ low iodine uptake = subacute thyroiditis = no need for anti thyroid drugs

3-Mild hyperthyroidism can occur is 1st trimester ( HCG behaves like TSH ) and postpartum (thyroiditis)>>> NO treatment needed .

4-Toxic nodule >>> Best treatment is radioactive iodine or surgery ( multinodular )

5- Thyroid eye disease >>> radioiodine therapy is contraindicated

6- Hyperthyroid in prgnancy >>> propylthiouraci 1st trimester and carbimazole after that

7- Hypothyroid in pregnancy >>> higher dose of thyroxine is needed

8- In all amiodarone induced thyroid disorders >>> stop amiodarone unless given for life threatening arrhythmia

9-In amiodarone inuced thyrotoxicosis + low radioiodine uptake >>>> ttt by steroids

10- In subclinical hypothyroidism + unwell patient or hypotensive >>>>> check for hypoadrenalism.

11- Thyroid eye disease may be unilateral , with normal thyroid function , or even without proptosis