PPT-Thyroid and Pregnancy

a few interesting clinical considerations NingZi Sun GIM PGY4 Objectives Quick review of thyroid physiology in pregnancy Addressing a few clinical questions AntiTPO AntiTg antibodies spontaneous abortions. Dr. D. Zatelny. BaSc. , MD, FRCPC. Objectives. Review practical primary care management of 3 common thyroid conditions through a case based approach. Encourage discussion !. Case 1. 26 . yr. old married executive secretary referred for possible hypothyroidism. Jeffrey C. . Faig. , M.D., . FACOG, FACP. Clinical . Professor. Division of Obstetrics and Gynecology. Medical Disorders Complicating Pregnancy. Hypertensive . Disease/Preeclampsia. Diabetes Mellitus. AUTHOR FIRST, MD, AUTHOR SECOND MD and LAST AUTHOR MD. Department of Medicine. Jersey Shore University Medical Center, Neptune NJ. Discuss the impact of normal pregnancy on thyroid function tests (TFTs). . 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. 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. 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. the diagnosis . and management of thyroid disease during pregnancy and . postpartum.. ATA 2011 Recommendations:76. ATA 2017 Recommendations:97. In addition . to evidence-based updates of traditional content areas, the task force also sought . Present by: . Dr.Karbalaei. Attend: Dr.Besharati. Previous study. A systematic review of 31 studies . involving Euthyroid . women showed a strong association between the presence of :. T. hyroid . peroxidase . 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. . Sedigheh. . Hantoushzadeh. Why iodine is . necessory. Iodine is an essential element for human survival since it is essential for making thyroid hormones.. Iodine deficiency disorders (IDD) have been recognized as a major public health problem worldwide. 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 . Presented . by:B.Rezvankhah. In 2011, the American Thyroid Association (ATA) first published guidelines on . the diagnosis . and management of thyroid disease during pregnancy and . postpartum.. ATA 2011 Recommendations:76. thyrotoxicosis. During Pregnancy. BY:. Dr. Majid . Valizadeh. Associate professor of . SBUMS. Research institute . for endocrine sciences. Road Map. Case presentation. Introduction . (Thyroid hormone economy during pregnancy. ROYA ALAEI. CLINICAL DESISIONS. The NEW ENGLAND JOURNAL of MEDICINE. A Woman Trying to Conceive. Mrs. Thompson is a 31 y/o woman who has been trying to conceive for the past 12 months and comes to see you, her primary care physician. .