Toxic Adenoma history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
==History== | ==History== | ||
Specific areas of focus when obtaining a history from the patient of toxic adenoma include: | |||
*Possibility of recent iodide exposure—in the form of (can provoke transient thyrotoxicosis in a pre-existing toxic nodule) | |||
**Medication (e.g., amiodarone) | |||
**Radiocontrast dye | |||
**Dietary supplements | |||
==Symptoms== | ==Symptoms== | ||
Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Symptoms of toxic adenoma include: | Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Symptoms of toxic adenoma include: | ||
Revision as of 15:13, 6 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
History
Specific areas of focus when obtaining a history from the patient of toxic adenoma include:
- Possibility of recent iodide exposure—in the form of (can provoke transient thyrotoxicosis in a pre-existing toxic nodule)
- Medication (e.g., amiodarone)
- Radiocontrast dye
- Dietary supplements
Symptoms
Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Symptoms of toxic adenoma include:
- Fatigue
- Unintentional weight loss
- Heat intolerance
- Diaphoresis
- Tremor
- Palpitations
- Hyperdefecation
- Anxiety
- Nervousness
- Irritability
- Difficulty with mental concentration
- Hair loss
- Women may experience
- Oligomenorrhea
- Amenorrhea<ref>
- Men may complain of
- Decrease in libido
- Erectile dysfunction
- Gynecomastia<ref>
Signs of thyrotoxicosis
- Tachycardia
- Systolic hypertension
- Hyperactive or fatigued demeanor
- Staring gaze and lag
- Brisk carotid upstrokes
- Hyperdynamic point of maximal impulse
- Systolic flow murmur
- Proximal muscle weakness
- Fine hand tremor
- Velvety or oily skin
- Hair thinning.