Hyperthyroidism: Difference between revisions
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== Clinical |
== Clinical Manifestations == |
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=== Biochemical === |
=== Biochemical === |
Revision as of 12:37, 23 July 2020
Differential Diagnosis
- Graves disease (autoimmune)
- Thyroiditis
- Viral (painful, subacute)
- Autoimmune
- Transient (painless)
- Post-partum thyroiditis (painless)
- Toxic nodule
- Toxic multinodular goitre
- Iatrogenic
- Amiodarone
- Lithium
Clinical Manifestations
Biochemical
- Laboratory dysfunction only
Subclinical
- Progresses to symptomatic hyperthyroidism in 25% by 5 years
Clinical
- History
- Heat intolerance
- Weight loss
- Anxiety
- Emotional ability
- Weakness
- Tremor
- Palpitations
- Increased perspiration
- Distractibility
- Signs & Symptoms
- Atrial fibrillation
Graves Disease
- Signs and symptoms of hyperthyroidism
- Diffuse goitre
- Proptosis, palpebral swelling
- Diffuse dermopathy
Investigations
- Labs
- TSH; if low, repeat and add free T3 and free T4
- Imaging
- Other