PPT-Subclinical hypothyroidism in pregnancy

Dr Nicola Zammitt Consultant Physician Royal Infirmary of Edinburgh PLIG meeting 23120 Hypothyroidism during pregnancy Fetus needs T4 from 4540 Uses maternal T4 exclusively up to 1040 and partially thereafter. a few interesting clinical considerations. Ning-Zi Sun. GIM PGY-4. Objectives. Quick review of thyroid physiology in pregnancy. Addressing a few clinical questions:. Anti-TPO / Anti-Tg antibodies. spontaneous abortions. levels in thyroid overt and subclinical dysfunction. Kokkinos . Spiridon. , . Tiaka. . Elisavet. , . Manolakis. . Anastasios. , . Papanas. . Nikolaos. , . Papatheodorou. . Konstatntinos. , . Christakidou. Dr . Muries. . Barham. ENDOCRINOLOGEST. Thyroid Disorders. Anatomy . The thyroid gland consists of two lateral lobes connected by an isthmus. It is closely attached to the thyroid cartilage and to the upper end of the trachea, and thus moves on . Jeffrey C. . Faig. , M.D., . FACOG, FACP. Clinical . Professor. Division of Obstetrics and Gynecology. Medical Disorders Complicating Pregnancy. Hypertensive . Disease/Preeclampsia. Diabetes Mellitus. Outpatient workup and management of . common thyroid . disorders. —. selected . case studies. 9/19/13. Who are you?. Who am I?. Amy Robinson, M.D. . Lobo Care Clinic. 1101-A 4 Medical Arts Ave, NE. Jeffrey R. Garber, MD, FACP, FACE. Chief . of . Endocrinology, Harvard . Vanguard Medical . Associates President, American College of Endocrinology. Associate Professor of Medicine. Harvard . Medical School. Ramzy Nakad MD, FACOG. Goals. Asthma. Diabetes. Thyroid. Thrombophilia. Asthma. Most common respiratory disease in pregnancy, Most common medical illness complicating pregnancy. Affects 4-9% of women in reproductive age. Endocrinology . testing and treatment. Tulsi. Sharma, MD . WFHC, CMC, . W. aterloo,IA. Androgen deficiency . Lab tests . Morning total testosterone level . Confirmation of the diagnosis by repeating . Hypothalamus releases TRH . Act on the pituitary gland to release TSH . TSH causes the thyroid gland to release the thyroid hormones (T. 3. and T. 4. ). TRH and TSH concentrations are inversely related to T. remains the . most common cause of hypothyroidism worldwide. . . In areas of iodine sufficiency, autoimmune disease (Hashimoto's thyroiditis) and iatrogenic causes (treatment of hyperthyroidism) are most common .. WASSAN NORI. CABOG. Hyperemesis . gravidarum. is a severe, intractable form of nausea and vomiting that causes imbalance of fluid and electrolytes, disturbs nutritional intake and metabolism, causes physical and psychological debilitation and is associated with adverse pregnancy outcome, including an increased risk of preterm birth and low birth weight babies. Prevalence of hypothyroidism (recent data). Prevalence of Hypothyroidism During Pregnancy. Country. Year. Hypothyroidism (OH+SCH). USA. 1. 2012. 15.5%. India. 3. 2011. 14.3%. India. 2. 2010. 11.0%. 1. J . Hypothyroidism in Older Adults Mary Pennington , DO URMC Division of Geriatrics & Aging March 2018 Background Nonspecific, atypical and/or asymptomatic presentations of hypothyroidism is common Download PDF The Hypothyroidism Revolution™ eBook by Tom Brimeyer - an expert guide to help people treat hypothyroidism without harmful chemicals permanently.