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Pa Tho Physiology

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Modifiable factors:

Non-modifiable
Iodine
factors:
deficiency Mild
female PATHOPHYSIOLOGY
Poor Hoarse
age
socioeconomic ness of
heredity
T3 and T4 status ice

Stimulation of laryn lymphocytes: 0.55,


Throug
TSH gitis Segmenter: 0.72
h TSH
receptor Induction of thyroid cell
s hyperplasia Formation of dyspha
multinodular goiter gia
Increased replication
predisposes to a risk of UTZ shows
mutation in the TSH Palpable
three cystic
receptors nodule on
nodules
the right
(0.4cm) in
side of the
Mutated TSH receptor is the right
neck
constitutively active lobe

produced excess T3/T4 For biopsy


(not applicable
to indigent
patient)
HYPERTHYROIDISM

PTU 50mg TID


maintenance for 2 months TSH Test
shows
normal T3: 3.47, T4:
Normalized thyroid 1.21 and
hormones level level of
T3,T4 and TSH: 1.89
TSH
Multinodular Non-toxic Total
Goiter thyroidect
omy

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