PBL 1 session 3

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PBL 1 session 3 by Mind Map: PBL 1 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.2.1. family history and genetics

1.2.2. IgG antibodies increased thyroid hormone causing the symptoms and causing a decrease in TSH

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. goals

2.1.1.1. resolve symptoms and improve quality of life

2.1.1.2. treating and preventing complications

2.1.1.3. preventing relapse

2.1.2. pharmacological

2.1.2.1. radioactive iodine

2.1.2.1.1. destroy thyroid cells

2.1.2.1.2. antithyorid drugs to be stopped a few days before

2.1.2.1.3. first line before and after antithyroid

2.1.2.1.4. aim to cause hypothyrodism

2.1.2.1.5. contraindicated in pregnancy

2.1.2.2. idonated contrast agents

2.1.2.3. antithyroid drugs

2.1.2.3.1. inhibition of idonation of thyroglobulin

2.1.2.3.2. titrated every 4 weeks

2.1.2.3.3. side effects

2.1.2.3.4. examples

2.1.2.4. symptomatic control

2.1.2.4.1. `coritcosteroid therapy

2.1.2.4.2. normal saline drops to hidrate the eye

2.1.2.4.3. beta blocker to treat SNS symptoms

2.1.2.5. post therqapy replacement

2.1.2.5.1. levothyroxine

2.1.3. non pharmacological

2.1.3.1. surgery

2.1.3.1.1. thyrodectomy

2.1.3.1.2. eye muscle surgery

2.1.3.2. smoking cessation

2.1.3.2.1. helps in ophalmopathy

2.1.3.3. diet

2.1.3.3.1. iodine rich food may intervene with antithyroid therapy

2.2. Prevention

2.2.1. primary

2.2.1.1. smoking?

2.2.1.2. for hypothyrodism: iodine rich food

2.2.2. secondary

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes