Profound Hypothyroidism

Etiology

  • Most commonly from Hashimoto's

Symptoms

  • Wt gain
  • Edema
  • Dry skin
  • Constipation
  • Weakness
  • Fatigue
  • Cold intolerance
  • Depression/mood change
  • Myxedema coma very rare

Physical Exam Findings

  • Bradycardia
  • Often no findings aside from wt gain
  • Sometimes decreased relaxation phase of reflexes
  • Pre-tibial edema or generalized fluid retention
  • Lateral thinning of eyebrows
  • Sometimes goiter, though usually no palpable findings

Tests