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					Thyroid Disorders Endocrine Glands  Collection of glands that secrete hormones directly into the bloodstream.  Adrenal glands, parathyroid glands, pancreas, pineal gland, pituitary gland, ovaries, testes, thymus gland, thyroid gland Thyroid Gland (Hormone.org, 2012) Figure 12-7: Effects of thyroxine. (Zelman, Tompary, Raymond, Holdaway, Mulvhill, 2010) Thyroid  TSH  T3  T4  Disruption of hormones   (NIDDK, 2006) Hyperthyroidism Hypothyroidism Hyperthyroidism  One of the most common hyperthyroid disorders  Graves’ Disease  More common in women than men Hyperthyroid Symptoms  Exophthalmos  Profuse perspiration  Hand tremors  Goiter  Weight loss  Nervousness/excitability  Rapid pulse  Polydipsia  Diarrhea  Insomnia Insert Figure 12-9: Thyroid goiter. (Newscom) (Zelman, Tompary, Raymond, Holdaway, Mulvhill, 2010) Hypothyroidism  Most common type of hypothyroidism  Hashimoto’s Disease  The thyroid doesn’t make enough thyroid hormone  Symptoms:  Fatigue, mental depression, feeling cold, weight gain, dry skin and hair, constipation, menstrual irregularities Thyroid Cancer  Most people have no symptoms  4 types:  Papillary – slow growing – easily treated – rarely fatal  Follicular – again slow growing – rarely fatal  Medullary – less common – more aggressive  Anaplastic – least common – most aggressive Addison’s Disease  Adrenal Insufficiency  Adrenal glands cannot produce enough cortisol • OR  Pituitary gland fails to produce enouch adrenocorticotropin (ACTH)  Symptoms:          Chronic, worsening fatigue Muscle weakness Loss of appetite Weight loss Nausea/vomiting Diarrhea Craving for salty foods Low blood glucose Headache Cushing’s Syndrome  Caused by prolonged exposure of the body’s tissues to high levels of the hormone cortisol.  Relatively rare but risk factors:  Obesity  Type 2 diabetes  High blood pressure Cushing’s Syndrome  Signs & Symptoms:         Rounded face Upper body obesity Increased neck fat Bruise easily / poor healing Weakened bones Fatigue Increased thirst/urination Irritability / anxiety / depression (NIDDK, 2006) Insert Figure 12-11: A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. (Sharmyn McGraw) (Zelman, Tompary, Raymond, Holdaway, Mulvhill, 2010) Treatments  Medication  Radioactive Iodine  Surgery  Prevention??
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            