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Hyperthyroidism

Anup Sabharwal, MD MBA FACC FACE FASPC FNLA FEAA Reviewed 04/2024
 


BASICS

  • Hyperthyroidism or thyrotoxicosis is due to thyroid hormone excess. The former describes excess from the thyroid gland, whereas the latter can also be produced from another source.

  • In general, p...

DIAGNOSIS

HISTORY

  • Thyrotoxicosis is a hypermetabolic state in which energy production exceeds needs, causing increased heat production, diaphoresis, and even fever.

  • Thyrotoxicosis affects different syst...

TREATMENT

  • Observation may be appropriate for patients with mild hyperthyroidism (TSH >0.1 or no symptoms) especially those who are young and with low risk of complications (atrial fibrillation, ost...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Smoking cessation in GD patients as this is a risk factor for ophthalmopathy, especially after RAIT 

Patient Monitoring

  • Repeat thyroid tests q3mo, CBC, and liver fu...

REFERENCES

1
Cappola  AR, Fried  LP, Arnold  AM, et al. Thyroid status, cardiovascular risk, and mortality in older adults. JAMA.  2006;295(9):1033–1041. [View Abstract on ...

CODES

ICD10

  • E05.81 Other thyrotoxicosis with thyrotoxic crisis or storm

  • E05.80 Other thyrotoxicosis without thyrotoxic crisis or storm

  • E05.1 Thyrotoxicosis with toxic single thyroid nodule

  • E05.2 Thyrotoxi...

CLINICAL PEARLS

  • Not all thyrotoxicoses are secondary to hyperthyroidism.

  • GD presents with hyperthyroidism, ophthalmopathy, and goiter.

  • Thyroid storm is a medical emergency that needs hospitalization and...

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