Hyperthyroidism
Graves (most common) â Inc T3, Inc T4, goiter, ophthalmology
Toxic multinodular goiter â later in life, no eye problems
SX â nervous, sweating, feet hot, tachy/palpitations, weight loss, inc appetite, goiter, tremor, atrial fib
PE â heart (tachy), eyes (exopthalmos)
Next Steps
DX â â¢
TSH/FT4 (Dec TSH, Inc FT4) ⢠CBC, CMP, EKG
Health Tips
TX â ⢠Methimazole in adults, 5-15mg PO QD ⢠Propylthiouracil in elderly,
pregnant, those w/ cardiac disease