Thyroid dz

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Thyroid dz

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10 Posts

ruhighazi
Forum Senior

Topics: 23
Posts: 76

05/15/06 - 02:28 PM

A 30-year-old woman is found to have a low serum thyroxine level after being evaluated for fatigue. Five years ago she was treated for Graves’ disease with radioactive iodine. The diagnostic test of choice is:

a. Serum TSH
b. Serum T3
c. TRH stimulation test
d. Radioactive iodine uptake

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Ruhighazi

mesh
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Topics: 77
Posts: 401

05/15/06 - 02:44 PM

som
Forum Guru

Topics: 59
Posts: 308

05/15/06 - 03:49 PM

RAIU?

Jinx
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Topics: 17
Posts: 316

05/15/06 - 03:52 PM

a is correct

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shilahk
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Topics: 13
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05/15/06 - 05:17 PM

AAAAA
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Topics: 156
Posts: 1,991

05/15/06 - 05:58 PM

What if the 30 year old woman is post-partum with

uncomplicated pregnancy and is

breast-feeding and developed nerveousness,

insomnia, heat intolerance.

Lab shows

Serum free T4 : 49.7 pmol/L

Serum TSH <0.01 uU/mL

Antithyroid peroxidase antibodies 32.0U/mL

How do you treat this post-partum woman who is

breast-feeding ?

Excellent question !!!!!!

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achilles
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05/15/06 - 07:16 PM

A.

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achilles
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05/15/06 - 07:22 PM

and for AAAAA's question - propanolol ?

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AAAAA
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Topics: 156
Posts: 1,991

05/15/06 - 07:24 PM

Right, beta-blockers for pregnant woman with Grave's Disease.

Then radiactive I when she decides not to breast-feed her baby and life-long synthroid replacement.

Thanks !

Correct answer !

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guayoman
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Topics: 44
Posts: 273

05/15/06 - 10:37 PM

#10

Can you use PTU after birth?

I found it's safe in pregnancy. Kap Notes: "antithyroid drugs such as propylthiouracil (PTU is safe in pregnancy)" But it doesn't say anything about postpartum management.

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