Postpartum thyroiditis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The presence of signs of hyperthyroidism or hypothyroidism in postpartum period | The presence of signs of [[hyperthyroidism]] or [[hypothyroidism]] in postpartum period on physical examination is highly suggestive of [[Postpartum thyroiditis|PPT.]] | ||
==Physical Examination== | ==Physical Examination== | ||
The presence of signs of hyperthyroidism or hypothyroidism in postpartum period on physical examination is highly suggestive of PPT. | The presence of signs of [[hyperthyroidism]] or [[hypothyroidism]] in postpartum period on physical examination is highly suggestive of PPT. | ||
<ref name="pmid10874538">{{cite journal| author=Stagnaro-Green A| title=Recognizing, understanding, and treating postpartum thyroiditis. | journal=Endocrinol Metab Clin North Am | year= 2000 | volume= 29 | issue= 2 | pages= 417-30, ix | pmid=10874538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10874538 }} </ref> | <ref name="pmid10874538">{{cite journal| author=Stagnaro-Green A| title=Recognizing, understanding, and treating postpartum thyroiditis. | journal=Endocrinol Metab Clin North Am | year= 2000 | volume= 29 | issue= 2 | pages= 417-30, ix | pmid=10874538 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10874538 }} </ref> | ||
<ref name="pmid15157842">{{cite journal| author=Stagnaro-Green A| title=Postpartum thyroiditis. | journal=Best Pract Res Clin Endocrinol Metab | year= 2004 | volume= 18 | issue= 2 | pages= 303-16 | pmid=15157842 | doi=10.1016/j.beem.2004.03.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15157842 }} </ref> | <ref name="pmid15157842">{{cite journal| author=Stagnaro-Green A| title=Postpartum thyroiditis. | journal=Best Pract Res Clin Endocrinol Metab | year= 2004 | volume= 18 | issue= 2 | pages= 303-16 | pmid=15157842 | doi=10.1016/j.beem.2004.03.008 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15157842 }} </ref> | ||
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| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Stare and lid lag, proptosis, Gritty sensation in eyes | * Stare and lid lag, proptosis, Gritty sensation in eyes | ||
* lid lag | |||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Icteric sclera, Pallor | * Icteric sclera, Pallor | ||
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* Point tenderness over lumber vertebrae in [[osteoporosis]] | * Point tenderness over lumber vertebrae in [[osteoporosis]] | ||
*Costovertebral angle tenderness bilaterally [[osteoporosis]] | *Costovertebral angle tenderness bilaterally [[osteoporosis]] | ||
|- | |||
| '''Genitourinary''' | |||
| | |||
* Urinary frequency | |||
* Menstrual irregularities | |||
| | |||
* Menstrual irregularities | |||
|- | |||
|'''CNS''' | |||
| | |||
* Hyperreflexia | |||
* Proximal muscle weakness | |||
* Unilateral/bilateral tremor | |||
* Anxiety, restlessness, irritability, and emotional liability | |||
| | |||
* Hyporeflexia | |||
* Proximal muscle weakness | |||
* low mood, depression | |||
* Carpal tunnel syndrome | |||
|- | |||
|'''Extremities''' | |||
|Fasciculations, tremors in the upper & lower extremity | |||
| | |||
* [[Clubbing]] in hypothyroid phase | |||
* Non-pitting [[edema]] of the lower extremities in hypothyroid phase | |||
* Muscle atrophy | |||
|} | |} | ||
* | |||
* | |||
==References== | ==References== |
Revision as of 19:09, 13 October 2017
Postpartum thyroiditis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Postpartum thyroiditis physical examination On the Web |
American Roentgen Ray Society Images of Postpartum thyroiditis physical examination |
Risk calculators and risk factors for Postpartum thyroiditis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
The presence of signs of hyperthyroidism or hypothyroidism in postpartum period on physical examination is highly suggestive of PPT.
Physical Examination
The presence of signs of hyperthyroidism or hypothyroidism in postpartum period on physical examination is highly suggestive of PPT. [1] [2]
Appearance of the Patient
- Patients with PPT usually appear tired or irritable depend of the phase of disease.
Systems involved | Hyperthyroidism | Hypothyroidism |
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Vital Signs |
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Skin |
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HEENT |
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Abdomen |
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Back |
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Genitourinary |
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CNS |
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Extremities | Fasciculations, tremors in the upper & lower extremity |
References
- ↑ Stagnaro-Green A (2000). "Recognizing, understanding, and treating postpartum thyroiditis". Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.
- ↑ Stagnaro-Green A (2004). "Postpartum thyroiditis". Best Pract Res Clin Endocrinol Metab. 18 (2): 303–16. doi:10.1016/j.beem.2004.03.008. PMID 15157842.