| Show Learning Points most relevant to Phase 1: |
Hyperthyroidism
| Clinical Discipline(s)/Organ System(s) Endocrinology | Progress Test Topic(s) Homeostasis |
Description
A 26 year old Māori woman presents to her GP complaining of marked weight loss. She feels irritable and too hot. She has noted a hand tremor that affects her writing.
Progress Test-Type Questions: Question 1 | Question 2Applied Science for Medicine
- Thyroid hormone synthesis
- Pathophysiology of Graves' disease
- Extra-thyroid manifestations of Graves' disease
- Pharmacology of carbimazole, propylthiouracil and beta adrenoceptor blocking drugs
- Thyroid hormone synthesis
- Pathophysiology of Graves' disease
- Extra-thyroid manifestations of Graves' disease
- Pharmacology of carbimazole, propylthiouracil and beta adrenoceptor blocking drugs
Clinical and Communication Skills
- Elicit a history from a patient with hyperthyroidism; consider other autoimmune conditions
- Examine the thyroid gland; recognise thyroid eye disease, extra-thyroid manifestations
- Differential diagnosis of hyperthyroidism
- Interpret thyroid function tests and auto-antibody tests
- Indications for radio-isotope scan
- Management of hyperthyroidism: medical, radio-active iodine and surgery
- Complications of anti-thyroid drugs
- Complications of radio-active iodine and thyroidectomy
- Management of thyroid eye disease
- Elicit a history from a patient with hyperthyroidism; consider other autoimmune conditions
- Examine the thyroid gland; recognise thyroid eye disease, extra-thyroid manifestations
- Differential diagnosis of hyperthyroidism
- Interpret thyroid function tests and auto-antibody tests
- Indications for radio-isotope scan
- Management of hyperthyroidism: medical, radio-active iodine and surgery
- Complications of anti-thyroid drugs
- Complications of radio-active iodine and thyroidectomy
- Management of thyroid eye disease
Personal and Professional Skills
- Undertake full informed consent process
- Awareness of how annoyance with a patient can result in important diagnoses being missed
- Educate patients about serious adverse drug effects and precautions regarding radio-active iodine uptake
- Respect for patient autonomy in respect to treatment
- Undertake full informed consent process
- Awareness of how annoyance with a patient can result in important diagnoses being missed
- Educate patients about serious adverse drug effects and precautions regarding radio-active iodine uptake
- Respect for patient autonomy in respect to treatment
Hauora Māori
- Communicating with patients and whānau
- Understand health literacy needs of patients and whānau
- Self-awareness of potential stereotyping
- Access to cultural and spiritual support for patients and whānau
- Communicating with patients and whānau
- Understand health literacy needs of patients and whānau
- Self-awareness of potential stereotyping
- Access to cultural and spiritual support for patients and whānau
Population Health
- Epidemiology of hyperthyroidism
- Epidemiology of hyperthyroidism
Conditions to be considered relating to this scenario
Common
Graves' disease, toxic thyroid adenoma, toxic multinodular goitre, subacute thyroiditis, postpartum thyroiditis, amiodarone induced thyroiditis, increased iodine intake
Graves' disease, toxic thyroid adenoma, toxic multinodular goitre, subacute thyroiditis, postpartum thyroiditis, amiodarone induced thyroiditis, increased iodine intake
