Endocrinology & Diabetes — Flashcards

Flashcard 291: All patients with newly diagnosed or stable thyroid eye disease require a referral to a _____.

Answer: specialist thyroid eye clinic

Extra: While stable cases receive a routine referral, **emergency (same-day) referral** is indicated if there is: 1. Sudden change in vision (decreased visual acuity). 2. Color vision changes. 3. Significant proptosis with corneal exposure/ulceration. 4. Optic disc swelling.

Flashcard 292: How should the dose of levothyroxine be altered in women who become pregnant? _____

Answer: Increase the dose

Flashcard 293: Hoarse voice is associated with _____thyroidism

Answer: hypo

Flashcard 294: Exophthalmos, diplopia and inability to close eyelids completely in a patient who smokes and has Grave's disease is suggestive of _____

Answer: thyroid eye disease [Credit: Jonathan Trobe, MD]

Flashcard 295: What is the management of hypothyroidism in women who are pregnant, planning a pregnancy, treated with T4 during pregnancy or diagnosed with postpartum thyroiditis? _____

Answer: Referral to endocrinology

Flashcard 296: Bradycardia is associated with _____thyroidism

Answer: hypo

Flashcard 297: Hypothyroidism may be caused by _____ used to treat hyperthyroidism

Answer: radioiodine

Flashcard 298: Decreased tendon reflexes are associated with _____thyroidism

Answer: hypo

Flashcard 299: _____ is caused by eyelid retraction/proptosis which results in dryness and irritation of the eye leading to corneal ulceration

Answer: Exposure keratopathy

Flashcard 300: Dry skin is associated with _____thyroidism

Answer: hypo