Pathogenesis
Depends on underlying cause
Common symptoms include
- Fatigue, nervousness, anxiety, poor concentration
- Palpitations, shortness of breath
- Heat intolerance, increased sweating
- Weight loss despite increased appetite
- Muscle weakness
- Neck swelling
- Oligomenorrhea or infertility in women, decreased libido in men
- Depression, mental status changes (for example, psychosis or coma)
- Eye irritation, pain, or eyelid swelling.
Physical examination
- Tachycardia, dysrhythmia
- Hypertension
- Weight lost
- Warm, moist skin
- Hair loss, hair thinning
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Ocular signs:
- Stare
- Lid retraction
- Lid lag
- Exophthalmos (proptosis)
- Periorbital edema
- Conjunctival erythema and edema (chemosis)
- Corneal opacity
Thyroid storm
Is a life-threatening thyrotoxicosis with multiorgan involvement that may include cardiovascular, thermoregulatory, gastrointestinal, hepatic, and central nervous system dysfunction
Testing overview
- Thyroid function tests