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Hypothyroidism
Causes
History
- cold intolerance
- lethargy
- weight gain
- voice change
- constipation
- anorexia
- poor memory
- change in appearance
- depression
- psychosis
- coma
- deafness
- reduced libido
- goitre
- puffy eyes
- dry, brittle, unmanageable hair
- dry, coarse hair
- arthralgia
- myalgia
- menorrhagia / oligomenorrhoea
Predisposing factors
- thyroid surgery
- radioactive iodine
Examination
- observe / listen
- hoarse / croaking voice
- female
- middle-aged → elderly
- overweight
- Face
- coarse features
- peri-orbital puffiness
- xanthelasma
- loss of outer third of eyebrows
- dry, brittle hair
- Neck
- Neuro
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