Case Study on Diffuse Toxic Goiter

in normal posture of the head. The thyroid gland removes iodine from the blood (which comes mostly from a diet of foods such as seafood. The hormone with the most biological activity (for example. a large amount of T4 is converted to T3 .1% of thyroid hormones respectively.palpation struma .can be either inactive or a toxic nodule Multinodular (struma nodosa) .Introduction Toxic goiter. The cause of the excessive secretion is obscure. and exophthalmos. goiters may be classified either as the growth pattern or as the size of the growth: Growth pattern Uninodular (struma uninodosa) . it cannot be seen. The two most important thyroid hormones are thyroxine (T4) and triiodothyronine (T3) representing 99. the latter called toxic Diffuse (struma diffuse).the struma is very large and is retrosternal. thyrotoxicosis. the greatest effect on the body) is actually T3.* . for the Irish physician Robert James Graves.9% and 0. and salt) and uses it to produce thyroid hormones. hyperthyroidism. palpitations. Size Class I . it is only found by palpation. The gland wraps around the windpipe (trachea) and has a shape that is similar to a butterfly formed by two wings (lobes) and attached by a middle part (isthmus). with the whole thyroid appearing to be enlarged.the more active hormone that affects the metabolism of cells. or Graves' disease. Class III . Regarding morphology. bread. Once released from the thyroid gland into the blood. pressure results in compression marks. The thyroid gland is located in the lower part of the neck. also called exophthalmic goiter. Class II . below the Adam's apple. is caused by an excess of thyroxin secretion.can likewise be inactive or toxic. *The disease is named for Robert Graves who in 1835 first identified the association of goiter.the struma is palpative and can be easily seen. In some cases it may result from excessive stimulation by the pituitary gland. They are produced by the thyroid gland. Thyroid hormones stimulate the metabolism of cells.

oxygen. propranolol. . which may occur with treatment ■ Give eye care (drops. or most of the toxic goiter can be removed surgically. which is taken up by the gland and destroys the cells by irradiation. patches) prn ■ Thyrotoxicosis: Hypothermia blanket.Nursing Management ■ Monitor for S&S of thyrotoxicosis ■ Provide calm. Treatment Toxic goiter is commonly treated with radioactive iodine. iodine. The goal of radioactive iodine therapy is to destroy the overactive thyroid cells. Radioactive Iodine Therapy. cool environment ■ ↑Protein and calorie diet ■ Teach S&S of hypothyroidism. propylthiouracil. Almost all the iodine that enters and is retained in the body becomes concentrated in the thyroid gland. Drugs also can be used to suppress hormone production.

Struma nodusa (Grad II) .

Struma Grad III .

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