THYROID DISORDERS

HAND OUT

MANIFESTATIONS OF HYPERTHYROIDISM
Cardio vascular system Musculoskeletal system
 Systolic hypertension  Fatigue
 Increased rate and force of cardiac  Weakness
contractions  Proximal muscle wasting
 Bounding , rapid pulse  Dependent edema
 Increased cardiac output  Osteoporosis
 Cardiac hypertrophy Nervous system
 Systolic murmurs  Difficulty focusing eyes
 Dysrhymias  Nervousness
 Palpitations  Fine tremor of fingers and tongue
 Angina  Insomnia
Respiratory system  Lability of mood , delirium
 Dyspnea on mild exertion  Restlessness
 Increased respiratory rate  Personality changes of
Gastrointestinal system irritability,agitation
 Increased appetite,thirst  Exhaustion
 Weight loss  Hyperactive deep tendon reflexes
 Increased peristalsis  Depression,fatigue
 Diarrhea , frequent defecation  Lack of ability to concentrate
 Increased bowel sounds  Stupor,coma
 Splenomegaly Reproductive system
 Hepatomegaly  Menstrual irregularities
Integumentary system  Amenorrhea
 Warm,smooth,moist skin  Decreased libido
 Thin,brittle nails detached from nail  Impotence in men
bed(oncholysis)  Gynacomastia in men
 Hair loss(may be patchy)  Decreased fertility
 Clubbing of fingers(thyroid Other
acropachy)  Intolerance to heat
 Palmar erythema  Elevated basal temperature
 Fine,silky hair  Lid lag ,stare
 Premature graying  Eyelid retraction
 Diaphoresis  Exophthalmos
 Vitiligo  Goiter
 Pretibial myxedema(infiltrative  Rapid speech
dermopathy)
 MANIFESTATIONS OF HYPOTHYROIDISM
Cardio vascular system Musculoskeletal system
 Increased capillary fragility  Fatigue
 Decreased rate and force of  Weakness
contractions  Muscular aches and pains
 Varied changes in BP  Slow movements
 Cardiac hypertrophy  Arthralgia
 Distant heart sounds Nervous system
 Anemia  Apathy
 Heart failure  Lethargy
Respiratory system  Fatigue
 Dyspnea  Forgetfulness
 Decreased breathing capacity  Slowed mental processes
Gastrointestinal system  Hoarseness
 Decreased appetite,thirst  Slow,slurred speech
 Weight gain  Prolonged relaxation of deep tendon
 Nausea and vomiting reflexes
 Constipation  Stupor,coma
 Distended abdomen  Paresthesias
 Enlarged , scaly tongue  Anxiety,depression
 Celiac disease Reproductive system
Integumentary system  Prolonged menstrual periods or
 Dry ,thick ,inelastic ,cold skin amenorrhea
 Thick , brittle nails  Decreased libido
 Dry,sparse ,coarse hair  Infertility
 Poor turgor of mucosa Other
 Generalized interstitial edema  Intolerance to cold
 Puffy face  Increased susceptibility to infection
 Decreased sweating  Increased sensitivity to
 pallor opioids,barbiturates,anesthesia
 Decreased hearing
 Goiter
 sleepiness