Hypothyroidism
Myxedema = severe hypothyroidism
SX â weakness/fatigue, feel cold, dec memory, constipation, weight gain, depression, bradycardia, dec DTRs
PE â all (look for weight gain, dry skin, loss of hair, macroglossia, goiter, non-pitting edema (myxedema)
Next Steps
DX â
TSH (increased), Free T4 (decreased) Antibodies against
thyroid peroxidase (positive in Hashimotoâs Thyroiditis) ⢠CBC, CMP, fasting
lipid panel
Health Tips
TX â maintain a euthyroid state, w/ F/U Q6 wks ⢠Synthroid (levothyroxine), start 12.5â50 mcg QD, then 50-200 mcg QD ⢠2/3 the dose in elderly