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Condition Info
ConditionName
Hypothyroidism
ConditionDescription
Symptoms
Weakness; Fatigue; ↓Exercise capacity; Cold intolerance; Weigh gain; Constipation; Irregular menses; Depression; Hoarseness
PhysicalFindings
Hyporeflexia; Bradycardia; Dry skin; Edema
ClinicalTests
Initial: TSH; if TSH low : T4, ↓free T3, free t4
RiskFactors
Autoimmunity; Thyroid surgery; Pituitary dysfunction; Long lithium use; Long iodine use in high dose; Medication: Amiodarone, iodinated contrast agents, lithium, sulfonylureas;
IsRedFlag
IsNPLEX
Consequence
May make migraine worse; Heart problems; Nerve injury; Infertility; In severe cases, death; Secondary Raynaud Syndrome; Anxiety;
ProgressionFromCondition
Dyslipidemia
TreatmentOptions
Diet: add iodine (150mcg); tyrosine
PharmOptions
levothyroxine
WebLink
https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/hypothyroidism?query=Hypothyroidism
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