Thyroid History Flashcards

1
Q

What changes in thyroid diseases?

A

Body weight, appetite, voice, bowel habit, energy level, mood, concentration, heat intolerance, skin, nails and hair, heart rate/rhythm, menstrual cycle

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2
Q

In hyperthyroidism, how does body weight change?

A

Decrease despite increased appetite (although 10% will gain weight)

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3
Q

How does hypothyroidism change body weight?

A

It increases it

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4
Q

How does hyperthyroidism change appetite?

A

Increases it

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5
Q

How does hypothyroidism change appetite?

A

It will decrease it

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6
Q

How does hyperthyroidism affect voice?

A

It doesn’t

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7
Q

How does hypothyroidism affect voice?

A

It causes hoarseness

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8
Q

How does hyperthyroidism change bowel habit?

A

It increases the frequency of defaecation or causes diarrhoea

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9
Q

How does hypothyroidism change bowel habit?

A

It causes constipation

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10
Q

How does hyperthyroidism change your energy level?

A

It can increase or decrease your energy level. It causes muscle weakness.

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11
Q

How does hypothyroidism change your energy levels?

A

It decreases it. You are somnolent. You get slower movements and muscle weakness.

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12
Q

How does hyperthyroidism change your mood?

A

Anxious, iriitable, emotionally labile

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13
Q

How does hypothyroidism change mood?

A

Lethargy, depression

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14
Q

How does hyperthyroidism affect concentration?

A

Decreases it

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15
Q

How does hypothyroidism change concentration?

A

Decrease

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16
Q

How does hyperthyroidism change skin, nails and hair ?

A

Increased sweating, fine hair and hair loss. Clubbing. Onycholysis.

17
Q

How does hypothyroidism change skin, nails and hair

A

Dry flaky skin, coarse thinning hair, brittle nails

18
Q

How does hyperthyroidism affect heart rate/rhythm?

A

Tachycardia, palpitations, atrial fibrillation

19
Q

How does hypothyroidism affect heart rate/rhythm?

A

Bradycardia

20
Q

How does hyperthyroidism affect menstrual cycle?

A

Infrequent menses, fertility problems

21
Q

How does hypothyroidism affect menstrual cycle?

A

Heavy, prolonged or irregular menses. Fertility problems and increased risk of miscarriage.

22
Q

What drugs are especially relevant for thyroid history?

A

Thyroxine, lithium, amiodarone and sulphonylureas

23
Q

What social history is relevant for thyroid history?

A

Smoking, alcohol, diet (sufficient iodine) and effect on activities of daily living