GUARANTEE A+
✔✔myxedema - ✔✔skin and tissue disorder usually due to severe, prolonged
hypothyroidism
✔✔Myxedema - ✔✔decreased metabolic rate resulting in accumulation of hyaluronic
acid and chondroitin sulfate in the dermis, deposition of glycosaminoglycan in all organ
systems leads to mucinous edema of facial features
✔✔Myxedema - ✔✔Cognitive impairment, slowed mentation, poor concentration,
decreased short-term memory, social withdrawal, psychomotor retardation, depressed
mood, apathy, constipation, muscle pain, hearing problems, coarse, thick skin,
thickening nose, swollen lips, puffy eyes, slow speech, lethargy, weight gain, thin, brittle
hair with bald patches
✔✔Graves Disease - ✔✔Overactive thyroid caused by autoimmune antibodies to
thyroid-stimulating hormone receptor
✔✔Graves Disease - ✔✔more common in women during the 3rd and 4th decade,
palpitation, heat intolerance, weight loss, fatigue, increased appetite, tachycardia,
thyroid enlargement, exophthalmos, derm., constitutional, menstrual, and
musculoskeletal abnormalities, nonpitting edema, pretibial myxedema (thick, scaly skin,
swelling of lower legs)
✔✔Hashimoto - ✔✔underactive thyroid caused by autoimmune antibodies against
thyroid gland
✔✔Hashimoto - ✔✔often causes hypothyroidism, more common in children and women
30-50, progresses slowly over a number of years
✔✔Hashimoto - ✔✔weight gain, nausea, fatigue, enlarged nontender smooth thyroid
✔✔6 - ✔✔Ossification of the sutures begins after completion of brain growth, at about
____yrs, and is finished by adulthood
✔✔posterior fontanel - ✔✔usually closes by two months of age
✔✔Anterior Fontanel - ✔✔Usually closes by 12 to 15 months of age
✔✔Male adolescents - ✔✔the nose and thyroid cartilage enlarge, and facial hair
develops, emerging first on the upper lip, then the cheeks, lower lip, and chin
, ✔✔3 to 5 days after birth - ✔✔· The skull of a newborn is considerably pliable as six
fontanels and unfused skull bones allow for molding, or overlap of cranial bones, during
passage through the birth canal
Molding usually re- solves within ____
✔✔One-seventh - ✔✔head of an adult is ____ the body length
✔✔Sutures - ✔✔Spaces between the cranial bones permit the expansion of the skull to
accommodate brain growth
✔✔Iodine - ✔✔As long as adequate ______ intake is maintained, the size of the thyroid
will not detectably change on physical examination; in pregnancy however, a slight
enlargement may be detectable on ultrasound
✔✔the thyroid - ✔✔can increase in size during pregnancy, especially in iodine-deficient
environments
✔✔10 to 12 - ✔✔During the first ____ weeks of pregnancy, the fetus is dependent on
maternal thyroid hormone for brain development, which necessitates close monitoring of
maternal thyroid function to avoid adverse outcomes
✔✔Pregnant and postpartum women - ✔✔are at increased risk for thyroid dysfunction,
including hypothyroidism
✔✔second trimester - ✔✔The fetal thyroid gland becomes functional in the
✔✔Older adults - ✔✔the thyroid gland becomes fibrotic because of a decrease in
thyroxine production. Lymph nodes decrease in size and number
✔✔Thyroxine - ✔✔the thyroid gland becomes fibrotic in older adults because of a
decrease in
✔✔Lateral inspection of thyroid - ✔✔the most sensitive test for determining the
presence of a goiter; a thyroid that is not visible rules out a goiter
✔✔Hyperextension - ✔✔Can make thyroid gland examination more difficult
✔✔Thyroid gland - ✔✔Ask patient to gently extend neck and swallow which often
permits visualization of _____ symmetry, and contour as it moves with swallowing
✔✔A glass of water - ✔✔is an indispensable aid for proper examination of the thyroid,
as it helps the patient swallow multiple times.