Signs and symptoms present in hyperthyroidism

Organ system Symptoms

General  Heat intolerance
 Excessive sweating
 Weight loss
 Weakness
 Fatigue
 Oncholysis
 Goiter
Cardiovascular  Tachycardia
 Hypertension with widened pulse
pressure
 Palpitations
 Arrhythmias
 Chest pain
Endocrine  Women: oligo/amenorrhea,
dysfunctional uterine bleeding, and
infertility
 Men: gynecomastia, decreased libido,
and erectile dysfunction
 Hyperglycemia
Gastrointestinal  Increased motility (diarrhea)
Hematologic  Anemia
Musculoskeletal  Pretibial myxedema
 Myopathy
 Osteopathy
Neurologic  Anxiety
 Emotional instability
 Hyperreflexia
 Insomnia
 Tremors
Ophthalmologic  Lid lag
 Lid retraction
 Exophthalmos (seen in Graves disease)

Delayed relaxation of deep tendon reflexes, also known as the Woltman

sign, can be seen in hypothyroidism. Woltman sign can also be seen in
pregnant patients, diabetics, and the elderly. In hyperthyroidism, reflexes
would be brisk without the delay in relaxation