Hypothyroidism

Hypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormone.  Thyroid hormone controls the body’s metabolic rate.

Symptoms:

 Early symptoms: 

 

  • Being more sensitive to cold
  • Constipation
  • Depression
  • Fatigue
  • Heavier menstrual periods
  • Joint or muscle pain
  • Paleness or dry skin
  • Thin, brittle hair or fingernails
  • Weakness
  • Weight gain

Late symptoms, if left untreated:

  • Decreased taste and smell
  • Hoarseness (dysphonia)
  • Puffy face, hands, and feet
  • Slow speech
  • Thickening of the skin
  • Thinning of eyebrows

 

Terminal, end stage symptoms (if condition is severe and untreated)

  • organ failure
  • Myxedema coma 

 Myxedema coma:

  • A Myxedema coma is a state of decompensated hypothyroidism. It can result in death.
  • The patient may have lab values identical to a “normal” hypothyroid state, but a stressful event (infections, MI, CVA, drugs, etc.) precipitates the myxedema coma state.

 

Primary symptoms of myxedema coma are :

 

  • altered mental status
  • hypothermia.
  • Hypoglycemia
  • hypotension
  • hyponatremia
  • bradycardia
  • hypoventilation

Wexler, Deborah. 2009. Hypothroidism. Retrieved August 24, 2009 from http://www.nlm.nih.gov/medlineplus/ency/article/000353.htm

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