Thyroid disease

Question 1

Hypothyrodism

Symptoms

Answer 1

1) cold intolerance
2) weight gain, low appetite
3) hypoactivity, lethargy, fatigue, weakness
4) conspitation
5) low reflex
6) myxedema (facial/periorbital)
7) dry, cool skin and coarse, brittle hair
8) bradycardia, dyspnea or exertion

Question 2

Hypothyrodism

lab

Answer 2

Increased TSH (sensitive test for 1' hypothyroidism)
Decreased free T4

Question 3

Hyperthyroidism

Answer 3

1) heat intolerance (high heat production)
2) weight loss, high appetite
3) hyperactivity
4) diarrhea
5) high reflex
6) pretibial myxedema (Graves’ disease)
7) warm, moist skin, fine hair
8) chest pain, palpitation, arrhthymias, increased beta adrenergic receptors

Question 4

Hyperthyroidism

lab

Answer 4

Decreased TSH (if primary)
Increased free or total T4 and T3