{"id":1612,"date":"2017-07-03T08:45:05","date_gmt":"2017-07-03T12:45:05","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1612"},"modified":"2024-02-21T17:37:19","modified_gmt":"2024-02-21T17:37:19","slug":"rapid-review-hypothyroidism","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-hypothyroidism\/","title":{"rendered":"Rapid Review: Hypothyroidism"},"content":{"rendered":"\n<p><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"521\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-521x1024.png\" alt=\"\" class=\"wp-image-13406\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-521x1024.png 521w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-153x300.png 153w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-768x1510.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-781x1536.png 781w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypothyroidism-@8x-1-1042x2048.png 1042w\" sizes=\"auto, (max-width: 521px) 100vw, 521px\" \/><\/figure>\n<\/div>\n\n\n<p><strong><span style=\"text-decoration: underline;\">Hypothyroidism<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sx: generalized <strong>weakness<\/strong>, <strong>fatigue<\/strong>, <strong>facial swelling<\/strong>, <strong>constipation<\/strong>,<strong> <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-cyan-blue-color\"><span style=\"color: #3366ff\"><strong>cold<\/strong><\/span><\/mark> intolerance<\/strong>, and <strong>weight gain<\/strong><\/li>\n\n\n\n<li>PE:<strong> periorbital edema, dry skin<\/strong>, and<strong> coarse brittle hair<\/strong><\/li>\n\n\n\n<li>Labs: <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\"><span style=\"color: #ff0000\"><strong>high<\/strong><\/span><\/mark><\/strong> TSH and <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-cyan-blue-color\"><span style=\"color: #3366ff\"><strong>low<\/strong><\/span><\/mark><\/strong> free T4<\/li>\n\n\n\n<li>Most commonly caused by <strong>Hashimoto thyroiditis<\/strong>\n<ul class=\"wp-block-list\">\n<li>Dx:<strong> antithyroid peroxidase <\/strong>and <strong>antithyroglobulin <\/strong>autoantibodies<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Tx: levothyroxine\n<ul class=\"wp-block-list\">\n<li>Takes about 6 weeks to see treatment effects<\/li>\n\n\n\n<li>Monitor TSH<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Hashimoto: risk factor for non-Hodgkin lymphoma<\/li>\n<\/ul>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Sample Question:<\/span><\/strong><\/p>\n\n\n\n<p>A 30-year-old woman presents to the clinic with hair loss,<strong> fatigue<\/strong>, <strong>weight gain<\/strong>, and <strong>constipation<\/strong>. She also reports symptoms of arthralgia. Her heart rate is 50 bpm. Physical examination reveals cool, rough, <strong>dry skin<\/strong>, <strong>periorbital puffiness<\/strong>, and pallor. A beta-hCG test shows a negative result. Which of the following is the first line of treatment for this patient\u2019s most likely condition?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 Hypothyroidism Sample Question: A 30-year-old woman presents to the clinic with hair loss, fatigue, weight gain, and constipation. She also reports symptoms of arthralgia. Her heart rate is 50 bpm. Physical examination reveals cool, rough, dry skin, periorbital puffiness, and pallor. A beta-hCG test shows a negative result. Which of the following <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-hypothyroidism\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2010,2011,2000],"tags":[2594,3203,3215],"coauthors":[3864],"class_list":["post-1612","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-ob-gyn","category-pediatric-emergency-medicine","category-rapid-review","tag-endocrine","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rapid Review: Hypothyroidism - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about hypothyroidism, so you can brush up your knowledge and be a confident medical professional. 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