Download - thyroid health & disease
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Signs & Symptoms of Hypothyroidism
Nonspecific• Weight gain• Fatigue• Poor concentration• Depression• Diffuse muscle pain• Menstrual irregularities
Specific• Constipation• Cold intolerance• Dry skin• Proximal muscle weakness• Hair thinning/loss
Physical Exam May Reveal:
• Goiter• Delayed deep tendon reflex
(DTR)• Thin/brittle hair• Dry skin• Peripheral edema
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Alternate causes of hypothyroid-like symptoms (Gaitonde et al, 2012)
• Adrenal insufficiency (rare)• Anemia and/or iron, b12
deficiency• Chronic kidney disease• Depression, anxiety disorder• Liver disease• Obstructive sleep apnea• Viral infection (e.g. mono,
Lyme’s, HIV)• Vitamin D deficiency
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Common Symptoms of Hyperthyroidism
• Heart palpitations• Tachycardia/atrial fibrillation,
tremor, muscle weakness• Nervousness• Sweating• Hyperdefecation• Heat intolerance• Oligomenorrhea• Weight loss despite increased
appetite• Tired but have a hard time sleeping• Drooping eyelids/stare• Exopthalamus
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