Final Exam Review: Week 5, 6, 7 & 8
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WEEK 5: ...
1. Thyroid
o Diagnosis & Evaluation
What labs are used to diagnose?: -TSH - used primarily for screening and
diag- nosing hypothyroid and for monitoring replacement therapy in
hypothyroid patients
,-T4 - Used to monitor thyroid hormone replacement therapy and to screen for
thyroid dysfunction
-T3 - Useful in the diagnosis of hyperthyroidism; can also be used to monitor
hormone replacement therapy
-TSH low
-T4 normal
-T3 is high = hyperthyroidism
2. Thyroid
o Diagnosis & Evaluation
Timeframe for re-check of labs after starting levothyroxine?: Recheck TSH 6-
8 weeks after initiating therapy and after any dosage change; Check TSH at least
once a year after serum TSH is stabilized
,3. Thyroid
o Diagnosis & Evaluation
Signs and symptoms of hypothyroidism?: Hypothyroidism: Depend on
severity. o Mild: subtle and may go unrecognized
o Moderate to severe:
-Face is pale, puffy, and expressionless.
-Skin cold and dry.
-Hair is brittle and hair loss occurs.
-Slowed Heart rate.
-Patient may complain of lethargy, fatigue, and
-Temperature is lowered & intolerant to cold.
-Thyroid Enlargement may occur if reduced levels of T3
and T4
, Mentation may be impaired.
4. Thyroid
o Diagnosis & Evaluation