Lecture 17, Endo 18BB

Autonomic ns enlargement of ocular muscles

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Unformatted text preview: y involved likely » Hyperactivity of sympathetic autonomic NS » Enlargement of ocular muscles (infiltrative) Edema of orbital contents (ocular regions) Hyperthyroidism Hyperthyroidism Thyrotoxicosis - Graves Disease Thyrotoxicosis Graves Ophthalmopathy – Edema of orbital contents - implications » Protrusion of globe » Paralysis of extraocular muscles » Damage to retina and optic nerve Graves Disease Graves Protruding eyes – Enlargement of ocular muscles – Edema of Orbital Contents Hyperthyroidism Hyperthyroidism Thyrotoxicosis - Graves Disease Thyrotoxicosis Graves Treatment – Does not reverse infiltrative ophthalmopathy – – – Hyperthyroidism Hyperthyroidism Nodular Thyroid Disease Enlargement of the thyroid gland – Due to increased TSH levels and increased secretion Due of thyroid hormone of Hyperthyroidism Hyperthyroidism Nodular Thyroid Disease Changes in the follicular cells of the thyroid – Cause groups of follicular cells to stop functioning -Cause hypothyroidism hypothyroidism – Results - remainder of gland must elevate function to Results supply thyroid hormone supply Hyperthyroidism Hyperthyroidism Thyrotoxic Crisis (Thyroid Storm) Defined as – – Susceptible patients – Individuals w/ hyperthyroidism (severe) – Undergoing excessive stress Undergoing Hyperthyroidism Hyperthyroidism Thyrotoxic Crisis (Thyroid Storm) Symptoms include – – – – Hyperthermia Tachycardia (atrial) High output heart failure Agitation with delirium Di...
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