Toxic Adenoma history and symptoms: Difference between revisions
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{{CMG}} ; {{AE}} {{ADG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Common symptoms include | Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Common symptoms include Fatigue unintentional weight loss, heat intolerance, diaphoresis, palpitations, anxiety and nervousness. Specific areas of focus when obtaining a history from the patient of toxic adenoma include possibility of recent iodide exposure in any form that can provoke transient thyrotoxicosis in a pre-existing toxic nodule such as medication (e.g., amiodarone), radiocontrast dye, dietary supplements | ||
==History== | ==History== | ||
Specific areas of focus when obtaining a history from the patient of toxic adenoma include: | Specific areas of focus when obtaining a history from the patient of toxic adenoma include: | ||
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**Radiocontrast dye | **Radiocontrast dye | ||
**Dietary supplements | **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: | ||
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*Tremor | *Tremor | ||
*Palpitations | *Palpitations | ||
* | *Diarrhea | ||
*Anxiety | *Anxiety | ||
*Nervousness | *Nervousness | ||
Revision as of 15:21, 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
Patients with toxic adenomas typically present with signs and symptoms of thyrotoxicosis. Common symptoms include Fatigue unintentional weight loss, heat intolerance, diaphoresis, palpitations, anxiety and nervousness. Specific areas of focus when obtaining a history from the patient of toxic adenoma include possibility of recent iodide exposure in any form that can provoke transient thyrotoxicosis in a pre-existing toxic nodule such as medication (e.g., amiodarone), radiocontrast dye, dietary supplements
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
- Diarrhea
- 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.