Thyroid History by i2cLyqLq

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									                                 Thyroid History



             Hyperthyroidism                        Hypothyroidism
      Presenting           Rationale          Presenting          Rationale
      Complaint                               Complaint
 Weight,                                 Weight
 Appetite                                Appetite
Diarrhoea                                Constipation
Heat intolerance                         Cold intolerance
Oligomenorrhoea                          Menorrhagia
Goitre                                   Goitre
Myxoedema                                Myxoedema
Irritability/Anxiety                     Mental clouding
Lethargy                                 Lethargy
Tremor                                   Parasthesia (hands)
Palpitations /                           Hair loss
dyspnoea
Sore/dry eyes                            Dry, flaky skin
Altered appearance                       Altered appearance
Muscle weakness                          Loss of eyebrow


     History of Presenting Complaint                    Rationale
Site
Onset
Character
Associated symptoms
Timing
Exacerbating/relieving factors
Severity


           Past Medical History                         Rationale
Previous thyroid problems
Autoimmune disorders
Surgical thyroidectomy
Radioiodine therapy
Congenital absence of thyroid gland
Congenital hyperthyroidism
Endocrine problems (pituitary)
Iodine deficiency
Recent pregnancy
JADE
TAB
MARCH



                                Clinical Educators
                      Bradford Teaching Hospitals NHS Trust
              Drug History                               Rationale
ALLERGIES
Current/past medication
Thyroxine
Anti-thyroid medication (Carbimazole)
Iodine
Beta blockers
HRT
Contraceptive pill
Sedatives (sleeping tablets)
Anti-depressants
OTC/Homeopathic


              Social History                             Rationale
                Alcohol
                   Diet
               Occupation
               Drug abuse
                Anxiety
               Depression


             Family History                              Rationale
Thyroid disorders (all causes)
Autoimmune disorders


         Review of the systems                 What questions would you ask?
Cardiovascular


Peripheral vascular


GI/GU


Neuro


Musculoskeletal


Respiratory




                                 Clinical Educators
                       Bradford Teaching Hospitals NHS Trust

								
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