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Presence

of
Thyroid
stimulati
ng Ig

Thyroid
Gland
Excess Thyroid
Hormone (T3
and T4)
Decreased TSH

HYPERTHYROIDIS
M

Hypermetabol
ic State

Sympathetic
Activity

Increased
general
metabolic rate

Increased
proliferation of
cathecholamines

Increased
overall BMR

Sympathomimet
ic effect
Ocular:
PROPTOSIS
CNS
overstimulation:
TREMORS
GIT

INCREASED
SWEATING

Cardiac
Effects
Increased HR
and
Contractility

Increased
Cardiac
Output

Peripheral
vasodilation
due to heat load

PALPITATION
AND
TACHYCARDIA

Multifactorial
Factors: Old-aged
woman, nutritional

Inadequate
intake of dietary
calcium and Vit.
D

HYPERTHYRODI
SM

Age-related loss
(in the 4th decade)
Calcitonin
PTH, Vit D.

Decreased
estrogen
(postmenopausal)

Imbalance
between bone
resorption and
breakdown
Reduced bone mass,
deterioration of bone matrix,
and diminished bone
architectural strength

Osteoporosis

DEXTROSCOLIO
SIS AND
KYPHOSIS

Environmenta
l Factors: High
fat/lack of
exercise

Obesity

Hyperthyroidi
sm

Insulin
resistance

Genetic
Predisposition
(both parents)

Interaction

Decreased insulin
secretion

Relative insufficiency of insulin


action

Development of type 2
diabetes

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