Difference between revisions of "Hyperthyroidism"
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=== Preoperative optimization<!-- Describe how this comorbidity may influence preoperative evaluation and optimization of patients. --> === | === Preoperative optimization<!-- Describe how this comorbidity may influence preoperative evaluation and optimization of patients. --> === | ||
* Continue medical therapy for hyperthyroidism | |||
* Prepare for potentially difficult airway | |||
* Avoid sympathetic stimulation and thyroid storm | |||
** Consider beta blockade | |||
=== Intraoperative management<!-- Describe how this comorbidity may influence intraoperative management. --> === | === Intraoperative management<!-- Describe how this comorbidity may influence intraoperative management. --> === | ||
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== Signs and symptoms<!-- Describe the signs and symptoms of this comorbidity. --> == | == Signs and symptoms<!-- Describe the signs and symptoms of this comorbidity. --> == | ||
Signs | |||
* Tachycardia | |||
* Warm skin | |||
* Tremors | |||
* Exophthalmos | |||
* Enlarged thyroid/goiter | |||
* Stridor | |||
* Irregular heart rate | |||
* CHF - elevated JVP, edema | |||
Symptoms | |||
* Hyperactivity | |||
* Weight loss | |||
* Tremor | |||
* Dyspnea | |||
* Palpatations | |||
== Diagnosis<!-- Describe how this comorbidity is diagnosed. --> == | == Diagnosis<!-- Describe how this comorbidity is diagnosed. --> == | ||
Labs | |||
* Thyroid panel: Free thyroxine (T4), triiodothyronine (T3), and TSH | |||
* CBC - look for anemia or thrombocytopenia | |||
Imaging | |||
* CXR/CT/MRI - look for tracheal compression | |||
== Treatment<!-- Summarize the treatment of this comorbidity. Add subsections as needed. --> == | == Treatment<!-- Summarize the treatment of this comorbidity. Add subsections as needed. --> == | ||
Latest revision as of 10:40, 11 August 2022
Hyperthyroidism
| Anesthetic relevance | |
|---|---|
| Anesthetic management |
{{{anesthetic_management}}} |
| Specialty | |
| Signs and symptoms | |
| Diagnosis | |
| Treatment | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this comorbidity here.
Anesthetic implications
Preoperative optimization
- Continue medical therapy for hyperthyroidism
- Prepare for potentially difficult airway
- Avoid sympathetic stimulation and thyroid storm
- Consider beta blockade
Intraoperative management
Postoperative management
Related surgical procedures
Pathophysiology
Signs and symptoms
Signs
- Tachycardia
- Warm skin
- Tremors
- Exophthalmos
- Enlarged thyroid/goiter
- Stridor
- Irregular heart rate
- CHF - elevated JVP, edema
Symptoms
- Hyperactivity
- Weight loss
- Tremor
- Dyspnea
- Palpatations
Diagnosis
Labs
- Thyroid panel: Free thyroxine (T4), triiodothyronine (T3), and TSH
- CBC - look for anemia or thrombocytopenia
Imaging
- CXR/CT/MRI - look for tracheal compression
Treatment
Medication
Surgery
Prognosis
Epidemiology
References
Top contributors: Olivia Sutton and Barrett Larson