Hypo Vs Hyper Thyroid

Question 1

Hypothyroidism

Answer 1

• Depression and/or a exit, increased lethargy, fatigue, headache, slowed speech, slowed mental function, impaired short-term memory.
• Proximal muscle weakness, carpal tunnel syndrome, trigger points, myalgia, increased bone density, cold intolerance, paresthesias.
• Dyspnea, bradycardia, CHF, respiratory muscle weakness, decreased peripheral circulation, angina, increase cholesterol.
• Anorexia, constipation, weight gain, decreased absorption of food and glucose.
• Infertility, irregular menstrual cycles, increased menstrual bleeding.

Question 2

Hyperthyroidism

Answer 2

• Tremors, hyperkinesis, nervousness, increased DTRs, emotional lability, insomnia, weakness, atrophy
• Chronic periarthritis, heat intolerance, flushed skin, hyper-pigmentation, increased hair loss
• Tachycardia, palpating, increased respiratory rate, increase in BP, arrhythmia
• Polyuria, infertility, increased first trimester miscarriage, amenorrhea

Question 3

Hypoparathyroidism

Answer 3

• Decreased bone resorption
• Hypocalcemia
• Elevated serum phosphate levels
• Shortened 4th and 5th metacarpals
• Compromised breathing due to intercostal muscle and diaphragm spams
• Cardiac arrhythmia sans potential heart failure
• Increased neuromuscular activity that can result in tetany

Question 4

Hyperparathyroidism

Answer 4

• Increased bone resorption
• Hypercalcemia
• Decreased serum phosphate levels
• Osteitis fibrosa, subperiosteal resorption, arthritis, bone Deformity
• Renal hypertension and significant renal damage
• Gout
• Decreased neuromuscular irritability