Hypothyroidism – symptoms and signs.
Symptoms:
Tiredness/malaise,
Weight gain,
Anorexia,
Cold intolerance,
Poor memory,
Change in appearance,
Depression,
Poor libido,
Goitre,
Puffy eyes,
Dry brittle unmanageable hair,
Dry coarse skin,
Arthralgia,
Myalgia,
Muscle weakness/Stiffness,
Constipation,
Menorrhagia or
oligomenorrhoea in women,
Psychosis,
Deafness
Signs:
Mental slowness,
Psychosis/dementia,
Ataxia,
Poverty of movement,
Deafness,
Peaches and cream complexion,
Dry thin hair,
Loss of eyebrows,
Hypertension,
Hypothermia,
Heart failure,
Bradycardia,
Pericardial effusion,
Cold peripheries,
Carpal timel syndrome,
Oedema,
Periorbital oedema,
Deep voice,
(Goitre),
Dry skin,
Mild obesity,
Myotonia,
Muscular hypertrophy,
Proximal myopathy,
Slow-relaxing reflexes,
Anaemia
#Hypothyroid #Features #Signs #Symptoms #Diagnosis #PhysicalExam #Endocrinology
Central Distribution, Febrile / Ill:
- Viral Exanthem
- Lyme Disease (erythema migrans)
Central Distribution, Afebrile, non-ill:
- Drug Reaction
- Pityriasis (herald patch)
Peripheral Distribution, Febrile / Ill, Target Lesions:
- Stevens-Johnson Syndrome
- Erythema multiforme
Peripheral Distribution, Febrile / Ill, No Target Lesions:
- meningococcaemia
- Syphilis
- Lyme Disease (erythema migrans)
Peripheral Distribution, Afebrile / non-ill, flexor distribution:
- Scabies
- Eczema
Peripheral Distribution, Afebrile / non-ill, extensor distribution:
- Psoriasis
Infographic by Dr. Sam Birks @ https://twitter.com/BirksMD
#Maculopapular #Macular #Macules #Papules #Rash #Algorithm #Diagnosis #Dermatology #Skin
Anemia Diagnostic Algorithm
Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95 (up to 100) = normocytic. Above 95 (or 100) is macrocytic.
Red cell distribution width: Measures degree of variation among size of RBCs. Normal range 11.5% to 14.5%. Above 14.5% suggests wide range of RBC sizes.
Reticulocyte count: Measures percentage of reticulocytes (immature RBCs) in peripheral blood. High in acute blood loss, hemolysis, exogenous erythropoietin (EPO), iron or B12 repletion. Low in bone marrow (BM) ablative disorders, lack of substrate (e.g. iron), low EPO, and conditions that impair erythropoiesis.
Corrected reticulocyte count OR reticulocyte index above 2% suggests appropriate bone marrow response. If under 2%, then BM response insufficient for degree of anemia.
Algorithm by Dr. Matthew Watto via @thecurbsiders podcast
#Anemia #Algorithm #Diagnosis #Workup #Hematology #Microcytic #Macrocytic
