Medical Dx - hypothyroidism
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What are the symptoms?
- Increased sensitivity to cold
- Dry skin
- Weight gain
- Puffy face
- Muscle weakness
- Elevated blood cholesterol level
- Muscle aches, tenderness and stiffness
- Pain, stiffness or swelling in your joints
- Heavier than normal or irregular menstrual periods
- Thinning hair
- Slowed heart rate
- Impaired memory
What are the symptosm of infant hypothyroidism?
- Yellowing of the skin and whites of the eyes (jaundice). (In most cases, this occurs when a baby's liver can't metabolize a substance called bilirubin, which normally forms when the body recycles old or damaged red blood cells.)
- Frequent choking.
- A large, protruding tongue.
- A puffy appearance to the face.
What are the symptoms of adolescent/teen hypothyroidism?
- Poor growth, resulting in short stature
- Delayed development of permanent teeth
- Delayed puberty
- Poor mental development
What are the risk factors for developing hypothyrodism?
- Autoimmune disorder
- Tx for hyperthyroidism
- Thyroid surgery
- Radiation therapy to head and neck
- Medication (lithium)
- Congenital disorder
- Iodine deficiency
What are some other risk factors?
- Are a woman older than age 60
- Have an autoimmune disease
- Have a family history of thyroid diseas
- Have other autoimmune diseases, such as rheumatoid arthritis or lupus, a chronic inflammatory condition
- Have been treated with radioactive iodine or anti-thyroid medications
- Received radiation to your neck or upper chest
- Have had thyroid surgery (partial thyroidectomy)
- Have been pregnant or delivered a baby within the past six months
What are the complications?
- Peripheral neuropathy
- Heart problems
- Mental health issues
- birth defects
How is it diagnosed?
- Blood test
- - low level of thyroxine
- - high level of TSH (thyroid stimulating hormone produced by the pituitary gland)
What are the tx options?
levothyroxine sodium (levothyroid, synthroid)
* often needs calcium/iron supplements for good absorption
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