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Hyperthyroidism

Anup Sabharwal, MD MBA FACE FASPC FNLA Reviewed 06/2022
 


BASICS

  • Hyperthyroidism or thyrotoxicosis is a spectrum of clinical findings consistent with thyroid hormone excess. The former describes excess from the thyroid gland, whereas the latter can also be p...

DIAGNOSIS

HISTORY

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

  • Thyrotoxicosis affects several differ...

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
Ross  DS, Burch  HB, Cooper  DS, et al. 2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxico...

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.

  • Medical treatment for GD has a high relapse rate after stopping med...

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