Rapid Review: Hypothyroidism

July 3, 2017


  • Patient will be complaining of generalized weaknessfatiguefacial swellingconstipation, cold intolerance, and weight gain
  • PE will show periorbital edema, dry skin, and coarse brittle hair
  • Labs will show high TSH and low free T4antithyroid peroxidase, and antithyroglobulin autoantibodies
  • Most commonly caused by Hashimoto’s thyroiditis
  • Treatment is levothyroxine
  • Comments: Takes about 6 weeks to see treatment effects. Monitor TSH
  • Hashimoto’s: Risk factor for non-Hodgkin lymphoma

Sample Question: A 55-year-old woman presents to your office with complaints of fatigue, dry skin, constipation and weight gain. Physical exam results include a heart rate of 58 bpm and diminished deep tendon reflexes. Laboratory testing reveals an elevated TSH. Which of the following is the most appropriate next step in management? 

Comments (0)