Evaluation of Hyperthyroidism

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • The symptoms and signs of hyperthyroidism are also quite varied as with hypothyroidism:
    • But often more characteristic of the condition
  • Signs and Symptoms of Hyperthyroidism:
    • Common signs and symptoms of hyperthyroidism include:
      • Weight loss
      • Heat intolerance
      • Tremors
      • Palpitations
      • Anxiety
      • Menstrual abnormalities
      • Atrial fibrillation
    • Older patients with hyperthyroidism may have more cardiac symptoms:
      • But less systemic manifestations of hyperthyroidism
    • The most common symptoms are:
      • Palpitations, weakness, heat intolerance, and disturbed sleep
    • The most frequent physical findings are:
      • Tachycardia, tremor of the extremities, and weight loss
  • In clinical practice:
    • The symptoms and signs of hyperthyroidism are often not necessarily correlated with the biochemical severity of the thyroid dysfunction and can be variable and less prevalent in the elderly
  • General symptoms:
    • Weight loss
    • Heat intolerance
    • Anxiety / nervousness
    • Insomnia
    • Muscle weakness
  • Cardiovascular symptoms and signs:
    • Tachycardia
    • Palpitations
    • Dyspnea on exertion
    • Bounding pulses
    • Atrial fibrillation
  • Head and neck symptoms and signs:
    • Ophthalmopathy (in Graves’ disease only)
    • Goiter
  • Skin symptoms and signs:
    • Excess perspiration
    • Palmer erythema
  • Nervous System symptoms and signs:
    • Tremor
    • Anxiety / Nervousness
    • Hyperkinesis
  • Gastrointestinal symptoms and signs:
    • Frequent stools / Diarrhea
  • Reproductive symptoms and signs:
    • Irregular menstrual periods / amenorrhea
    • Light menstrual flow
    • Infertility
    • Gynecomastia (males)
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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