Thyroid history

Question 1

What relevant PMH is there?

Answer 1

Prev Thyroid disease / treatment / sugery

Question 2

What medications should you specifically ask about?

Answer 2

Amiodarone
Glucocorticoids
Lithium
Thyroxine

Question 3

What SHx should you ask?

Answer 3

Smoking
Alcohol
Diet
Effect of ADLs

Question 4

What relevant FHx is there?

Answer 4

Thyroid diseases
Autoimmune conditions

Question 5

What main symptoms would you ask about?

Answer 5

Appetite change
body weight
voice change
bowel habit
energy level
mood
concentration
heat tolerance
skin / hair / nails
heart rate
menstrual cycle

Question 6

In hyperthyroidism how would the following change?
a) Appetite
b) body weight
c) voice
d) bowel habit
e) energy level
f) mood
g) concentration
h) heat tolerance
i) skin / hair / nails
j) heart rate
k) menstrual cycle

Answer 6

a) Increase
b) Decrease (some increase due to appetite ^)
c) -
d) Increase / diarrhoea
e) Can increase or decrease
Muscle weakness
f) Anxious / irritable
g) Decrease
h) Intolerant / Less clothing
i) Increase sweating
Fine hair + hair loss
Thyroid acropachy (clubbing)
Onycholysis
j) Tachycardia + palpitations + AF
k) Infrequent menses, Fertility problems

Question 7

In hypothyroidism how would the following change?
a) Appetite
b) body weight
c) voice
d) bowel habit
e) energy level
f) mood
g) concentration
h) heat tolerance
i) skin / hair / nails
j) heart rate
k) menstrual cycle

Answer 7

a) Decrease
b) Increase
c) Hoarse
d)
e) Decrease
f)
g) Increase
h) Increase
i)
j)
k)