Hyperthyroidism And Thyrotoxicosis

Hyperthyroidism And Thyrotoxicosis

Question.1. Describe differentiating features of primary and secondary thyrotoxicosis.

Answer. Following are the differences between primary and secondary thyrotoxicosis:

Question.2. Write short note on complications of thyroid surgery.

Answer. Complications of thyroid surgery can be divided into three parts, i.e. minor, rare, or major.

Minor complications: Postoperative surgical site serosas,poor scar formation.

Rare complications: Damage to the sympathetic boot.

Major complications:

• Bleeding: Present with neck swelling, neck pain, and/or signs and symptoms of airway obstruction (e.g. dyspnea, stridor, hypoxia).
• Injury to recurrent laryngeal nerve: Present with postoperative hoarseness or breathlessness.
• Hypoparathyroidism: Signs of hypocalcemia, i.e.circumoral paresthesias, mental status changes,tetany, carpopedal spasm, laryngospasm, seizures, QT prolongation on ECG, and cardiac arrest.
• Thyrotoxic storm
• Injury to superior laryngeal nerve: Mild hoarseness or decreased vocal stamina.
• Infection: Manifests as superficial cellulitis or as an abscess.