Thyroid

Question 1

Hx OF PC

What would you ask about in thyroid Hx of PC?

Answer 1

• Body weight.
• Appetite change.
• Voice change.
• Bowel habit.
• Mood.
• Skin/hair/nails.
• HR.
• Menstruation.
• Heat tolerance.

Question 2

Hx OF PC
What change would you see in hyper vs. hypothyroid in...
i) Body weight?
ii) Appetite change?
iii) Voice change?
iv) Bowel habit?
v) Heat tolerance?

Answer 2

i) Decrease vs. increased.
ii) Increased vs. decreased.
iii) Nil vs. hoarse.
iv) Increased/diarrhoea vs. constipation.
v) Intolerant vs. tolerant.

Question 3

Hx OF PC
What change would you see in hyper vs. hypothyroid in...
i) Energy level/mood?
ii) Skin/hair/nails?
iii) HR?
iv) Menstruation?

Answer 3

i) Anxious/irritable/lack of concentration vs. lethargy/depressed/increased concentration.
ii) Increased sweating, fine hair loss, clubbing, onycholysis vs. dry flaky skin, coarse thinning hair, brittle nails.
iii) Tachy, AF vs. brady.
iv) Infrequent vs. heavy, prolonged.

Question 4

PMH/DH

What would you ask about in PMH/DH?

Answer 4

• Previous thyroid disease, any surgeries?

- Thyroxine, lithium, amiodarone, glucocorticoids?

Question 5

SH/FH

What would you ask about in SH/FH?

Answer 5

• Smoking, alcohol, diet (sufficient iodine), effect on ADLs.
• Thyroid disease may be familial, any autoimmune conditions?