Clinical features
Overt hypothyroidism including such features as:
- flaky, dry, yellowish skin; hair loss; hoarse voice; weight gain; constipation; menorrhagia; psychiatric changes - from non-specific depression to organic psychoses; occasionally, carpal tunnel syndrome
- often, history of previous thyroidectomy or radioiodine treatment
Other features:
- depressed conscious level - may be comatose
- hypothermia (core temperature < 35øC) - body is cold and but without shivering
- bradycardia
- hypoventilation with hypoxia and hypercapnia
- other pathologies related to hypothyroidism eg heart failure, cyanosis
- hyponatraemia (Na < 130 mmol/l)
- hyporeflexia
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