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[Skill Modules
>>
Thyroid
>>
Patient Hx
]
Patient History: Thyroid
Risk Factors
| Hypothyroidism |
Hyperthyroidism |
| Family or personal hx of thyroid disease |
Family or personal hx of thyroid disease |
| Goiter or hx of goiter |
Goiter or hx of goiter |
| Prior or current thyroid use |
Prior or current thyroid use |
| Hx of other autoimmune disease |
Hx of other autoimmune disease |
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Recent iodine exposure |
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Clinical Findings
| Hypothyroidism |
Hyperthyroidism |
| Fatigue |
Fatigue |
| Weight gain |
Weight loss without change in appetite |
| Cold intolerance |
Heat intolerance |
| Depression or memory impairment |
Depression or nervousness, irritablility,
anxiety or agitation |
| Menstural irregularities (menorrhagia), infertility |
Menstural irregularities (oligomenorrhea) |
| Weakness, muscle cramps, joint pains |
Weakness, tremor |
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Palpitations |
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Exertional dyspena |
| Constipation |
Hyperdefecation |
| Hoarseness |
Anterior neck pain |
| Hypersomnolence |
Insomnia |
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Atypical Presentation in the Elderly
| Hypothyroidism |
Hyperthyroidism |
| The elderly may present atypically with isolated symptoms of fatigue, constipation, weight gain or depression. |
The elderly may present atypically
- "apathetic hyperthyroidism" symptoms resembling hypothyroidism in younger patients OR
- isolated unexplained weight loss
- history of congestive heart failure (CHF)
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