Endocrine Diseases - Hypothyroidism 0.0 / 5 ? Veterinary NursingHypothyroidismUniversityAll boards Created by: Sarah_SVNCreated on: 12-04-19 11:45 What normally happens in the thyroid glands? Normally T4 is produced by the thyroid glands and converted into T3 (tri-iodothyronine) in all the body tissues. This is then used for metabolic processes in the body and growth and development, including hair follicles. 1 of 8 What is the pathogenesis of a patient with hypothy There is a decrease in production of T4, so the bodys metabolic rate is reduced. More common in dogs - golden retreivers, labs, boxers, great danes and cocker spaniels. 2 of 8 What are the primary hypothyroidism causes? Primary = Actual changes to the thyorid glands Acquired: Destruction of the thyroid tissue ususally via lympocytic thyroiditis. 90% of all cases. Congenital: Rare 3 of 8 What is the secondary hypothyroidism cause? Problems with the pituitary glands so reduction in TSH (thyroid stimulating hormone) being produced. Rare 4 of 8 What may be an Iatrogenic cause of hypothyroidism? Following surgical removal of the thyroid glands. E.g. cats who have had hyperthyroidism. 5 of 8 How is hypothyroidism diagnosed? Combination of clinical signs and blood results showing the following: - Non regenerative anaemia - Low T4, elevated TSH - Hypercholesteroaemia TSH stim test may also be required. 6 of 8 What are the clinical signs of hypothyroidism?(7) Lethargy and exercise intolerance Weight gain but normal appetite Hypothermia Bradycardia Flank Alopecia Thickened pigemented skin Neurological deficits 7 of 8 What is the treatment/nursing care of a patient wi Keep warm as they cannot increase their own body temperature Regular monitoring of T4 levels Synthetic T4 supplementation 8 of 8
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