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Hypothyroidism dr shabeel’s presentations
Causes
• Spontaneous atrophic
• Post ablative (131I )
• Post surgical
• Congenital
• Goitrous
– Hashimoto’s
– Drug induced
– Iodine deficiency
Clinical features
• Tiredness
• Weight gain
• Hoarseness of voice
• Cold intolerance
• Bradycardia / hypertension / angina / heart failure
• Pleural / pericardial effusion
• Delayed relaxation of DTR (AJ)
Contd……….
• Carpel tunnel syndrome
• Deafness / depression
• Dry coarse skin / alopecia
• Menorrhagia / impotence / infertility
• Constipation / ascites
Investigations
• T3 , T4 – decreased
• TSH – increased
• Increased cholesterol & TGL
• ECG – low voltage / ST & T changes
Management
• Thyroxin – 50-150 mcg / day
• Monitor TSH
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