Postpartum thyroiditis physical examination

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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
Vital Signs
Skin
HEENT
  • Stare and lid lag
  • Proptosis
  • Gritty sensation in eyes
  • Lid lag
Abdomen
  • Increased peristaltic movements in patients
Back
Genitourinary
  • Urinary frequency
  • Menstrual irregularities
  • Menstrual irregularities
CNS
Extremities

References

  1. Stagnaro-Green A (2000). "Recognizing, understanding, and treating postpartum thyroiditis". Endocrinol Metab Clin North Am. 29 (2): 417–30, ix. PMID 10874538.
  2. 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.

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