Hypothyroidism and Hyperthyroidism - Symptoms and Signs Hypothyroidism: - General - From asymptomatic to myxedema coma, “Like everything is slowed down” • Low exercise tolerance • Hyperlipidemia • Cold intolerance • Weight gain (modest) - Neuro • Depression • Memory loss • Fatigue - Face/Neck • Hair is coarse, brittle and is lost • Thinning of lateral 1/3 of eye brows • Puffy Face • Enlarged tongue • Hoarseness • ± Goitre - Cardiovascular • bradycardia • cardiomegaly • pericardial effusion • hypertension - GI • Constipation - Gu: • Menorrhagia - Skin • Skin is dry, coarse, thick, cold, pale - Muscles • Weakness, cramps • Tendon Reflex Delay (relaxation phase) Hyperthyroidism: - General “Like running a marathon all the time” • Appear to have high energy but are fatigued • poor exercise tolerance • Heat intolerance • Weight loss (despite appetite) - Neuro: • Nervousness • Restlessness • Insomnia • Tremour • Increased Reflexes - Face/Neck • ophthalmopathy ocular changes (periorbital swelling, lid retraction and lid lag, stare and infrequent blinking) infiltrative (proptosis/exophthalmos, increased edema of lids and conjunctiva, chemosis, ophthalmoplegia) • ± Diffuse goitre • Bruit (when osculating over thyroid) - Cardiovascular • Palpitations, Afib - GI • Diarrhea - Gu: • Infertility, amenorrhea - Skin • Sweating • Warm, moist skin • Dermatopathy Ø Hands: Acropachy Ø Legs: “pretibial myxedema - Amy Chung, MD, MSc @AmyChung #Hypothyroid #Hyperthyroid #Symptoms #Signs #Diagnosis #endocrinology #Hypothyroidism #Hyperthyroidism

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