Postpartum thyroiditis physical examination: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Vital Signs | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Vital Signs | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Low-grade fever,Tachycardia with regular pulse or irregular pulse,Tachypnea, High blood pressure | * Low-grade fever,[[Tachycardia]] with regular pulse or irregular pulse,[[Tachypnea]], High blood pressure | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Bradycardia with regular pulse, Low blood pressure | * Bradycardia with regular pulse, Low blood pressure | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Skin | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Skin | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Sweating increased, Onycholysis, Hyperpigmentation,Pruritus and hives, [[vitiligo]] and [[alopecia areata]], thinning of the hair, peritibail [[myxedoma]] in co-existing [[Grave's disease]] | * Sweating increased, [[Onycholysis]], Hyperpigmentation,[[Pruritus]] and hives, [[vitiligo]] and [[alopecia areata]], thinning of the hair, peritibail [[myxedoma]] in co-existing [[Grave's disease]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Sweating decreased, Dry skin, Hair coarse and brttile, Brittle nails, Nonpitting edema | * Sweating decreased, Dry skin, Hair coarse and brttile, Brittle nails, [[Nonpitting edema]] | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |HEENT | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |HEENT | ||
| 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 | * lid lag | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Icteric sclera, Pallor | * [[Icteric sclera]], [[Pallor]] | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Abdomen | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Abdomen | ||
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*[[Abdominal tenderness]] in the right upper abdominal quadrant with autoimmune hepatitis. | *[[Abdominal tenderness]] in the right upper abdominal quadrant with autoimmune hepatitis. | ||
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | *[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | ||
*Dull note on percussion in peritoneal effusion. | *Dull note on [[percussion]] in [[peritoneal effusion]]. | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Increased peristaltic movements in patients | * Increased peristaltic movements in patients | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Back | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Back | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Point tenderness over | *Point tenderness over lumbar vertebrae in [[osteoporosis]] | ||
*Costovertebral angle tenderness bilaterally [[osteoporosis]] | *Costovertebral angle tenderness bilaterally [[osteoporosis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Point tenderness over | * Point tenderness over lumbar vertebrae in [[osteoporosis]] | ||
*Costovertebral angle tenderness bilaterally [[osteoporosis]] | *Costovertebral angle tenderness bilaterally [[osteoporosis]] | ||
|- | |- | ||
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| '''CNS''' | | '''CNS''' | ||
| | | | ||
* Hyperreflexia | * [[Hyperreflexia]] | ||
* Proximal muscle weakness | * Proximal muscle weakness | ||
* Unilateral/bilateral tremor | * Unilateral/bilateral tremor | ||
* Anxiety, restlessness, irritability, and emotional liability | * [[Anxiety]], restlessness, irritability, and emotional liability | ||
| | | | ||
* Hyporeflexia | * Hyporeflexia | ||
* Proximal muscle weakness | * Proximal muscle weakness | ||
* low mood, depression | * low mood, [[depression]] | ||
* Carpal tunnel syndrome | * [[Carpal tunnel syndrome]] | ||
|- | |- | ||
| '''Extremities''' | | '''Extremities''' | ||
| | | | ||
* Fasciculations, tremors in the upper & lower extremity | * [[Fasciculations]], [[tremors]] in the upper & lower extremity | ||
| | | | ||
* [[Clubbing]] in hypothyroid phase | * [[Clubbing]] in hypothyroid phase | ||
* Non-pitting [[edema]] of the lower extremities in hypothyroid phase | * Non-pitting [[edema]] of the lower extremities in [[hypothyroid]] phase | ||
* Muscle atrophy | * Muscle atrophy | ||
|} | |} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 11:41, 19 October 2017
Postpartum thyroiditis Microchapters |
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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 |
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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.