Euthyroid sick syndrome physical examination: Difference between revisions
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{{Euthyroid sick syndrome }} | {{Euthyroid sick syndrome }} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{Akshun}} | ||
==Overview== | ==Overview== | ||
There are no specific [[physical examination]] findings associated with [[euthyroid]] sick syndrome. The [[physical examination]] findings in each [[patient]] depends upon the underlying cause of [[euthyroid]] sick syndrome such as [[Sepsis physical examination|sepsis]], [[ST elevation myocardial infarction physical examination|myocardial infarction]], [[Pneumonia/Physical examination|pneumonia]], [[Chronic renal failure physical examination|chronic renal failure]] and [[Cirrhosis physical examination|cirrhosis]]. | |||
==Physical Examination== | ==Physical Examination== | ||
The physical examination findings in each patient depends upon the underlying | There are no specific [[physical examination]] findings associated with [[euthyroid]] sick syndrome. The [[physical examination]] findings in each [[patient]] depends upon the underlying cause of [[euthyroid]] sick syndrome such as [[Sepsis physical examination|sepsis]], [[ST elevation myocardial infarction physical examination|myocardial infarction]], [[Pneumonia/Physical examination|pneumonia]], [[Chronic renal failure physical examination|chronic renal failure]] and [[Cirrhosis physical examination|cirrhosis]]. However, euthyroid sick syndrome presents with [[hypothyroidism]]. The [[physical examination]] findings in [[hypothyroidism]] are:<ref name="pmid21250088">{{cite journal |vauthors=Walker HK, Hall WD, Hurst JW, Smith TJ |title= Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. |journal= |volume= |issue= |pages= |year= |pmid=21250088 |doi= |url=}}</ref><ref name="pmid28808493">{{cite journal |vauthors=Sadek SH, Khalifa WA, Azoz AM |title=Pulmonary consequences of hypothyroidism |journal=Ann Thorac Med |volume=12 |issue=3 |pages=204–208 |year=2017 |pmid=28808493 |doi=10.4103/atm.ATM_364_16 |url=}}</ref><ref name="pmid28778931">{{cite journal |vauthors=Badran A, Moran C, Coles AJ |title=Hypothyroid ataxia complicating monoclonal antibody therapy |journal=Pract Neurol |volume= |issue= |pages= |year=2017 |pmid=28778931 |doi=10.1136/practneurol-2017-001713 |url=}}</ref> | ||
====Appearance of the Patient==== | |||
* Patients with [[hypothyroidism]] usually appear [[Fatigue|fatigued]]. | |||
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* | |||
=== | ====Vital Signs==== | ||
* [[Bradycardia]] | |||
* [[Hypotension]] | |||
* [[Hypothermia]] | |||
*[[ | |||
*[[ | |||
*[[ | |||
=== | ====Skin==== | ||
*[[ | * [[Dry skin]] | ||
* Coarse hair | |||
* | |||
=== | ====Head==== | ||
* | * Puffy face | ||
* Coarse facial expression | |||
* | |||
=== | ====Respiratory==== | ||
* | *[[Bradypnea]] | ||
* [[Dyspnea]] | |||
* | |||
=== | ====Heart==== | ||
* | * Decreased [[systolic blood pressure]] | ||
* Increased [[diastolic blood pressure]] | |||
* [[Pericardial effusion]] | |||
* [[S3 gallop]] | |||
* | |||
* | |||
* | |||
=== | ====Neurologic==== | ||
* | * Slowed speech | ||
*[[ | * [[Reflexes|Slowed reflexes]] | ||
* | * [[Ataxia]] | ||
==References== | ==References== | ||
Latest revision as of 19:30, 16 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
There are no specific physical examination findings associated with euthyroid sick syndrome. The physical examination findings in each patient depends upon the underlying cause of euthyroid sick syndrome such as sepsis, myocardial infarction, pneumonia, chronic renal failure and cirrhosis.
Physical Examination
There are no specific physical examination findings associated with euthyroid sick syndrome. The physical examination findings in each patient depends upon the underlying cause of euthyroid sick syndrome such as sepsis, myocardial infarction, pneumonia, chronic renal failure and cirrhosis. However, euthyroid sick syndrome presents with hypothyroidism. The physical examination findings in hypothyroidism are:[1][2][3]
Appearance of the Patient
- Patients with hypothyroidism usually appear fatigued.
Vital Signs
Skin
- Dry skin
- Coarse hair
Head
- Puffy face
- Coarse facial expression
Respiratory
Heart
- Decreased systolic blood pressure
- Increased diastolic blood pressure
- Pericardial effusion
- S3 gallop
Neurologic
- Slowed speech
- Slowed reflexes
- Ataxia
References
- ↑ Walker HK, Hall WD, Hurst JW, Smith TJ. "Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition". PMID 21250088.
- ↑ Sadek SH, Khalifa WA, Azoz AM (2017). "Pulmonary consequences of hypothyroidism". Ann Thorac Med. 12 (3): 204–208. doi:10.4103/atm.ATM_364_16. PMID 28808493.
- ↑ Badran A, Moran C, Coles AJ (2017). "Hypothyroid ataxia complicating monoclonal antibody therapy". Pract Neurol. doi:10.1136/practneurol-2017-001713. PMID 28778931.