Thyroid disease may cause impairment that can be measured using the AMA criteria.
NOTE: End-organ changes (like ocular changes) may be associated with impairments that may be quantified separately.
Parameters:
(1) requirement for continuous therapy
(2) signs and symptoms
(3) anatomic loss or alteration
Hypothyroidism
Symptoms of hypofunction:
(1) fatigue
(2) weakness
(3) slowing of mental processes
(4) weight gain
(5) decrease in bowel movements
Continuous Therapy |
Signs and Symptoms |
Impairment of the Whole Person |
not required |
none |
0% |
required |
none; no evidence of inadequate replacement |
0 - 15% |
required, but unable to correct totally due to process in another body system |
present, or anatomic loss or alteration |
16 – 25% |
Hyperthyroidism
Symptoms of hyperfunction:
(1) nervousness
(2) eye changes such as exophthalmos
(3) weight loss
(4) palpitations, tachycardia
(5) frequent bowel movements
(6) goiter
Continuous Therapy |
Signs and Symptoms |
Impairment of the Whole Person |
not required |
none |
0% |
required |
none |
0 - 15% |
required, but unable to correct totally due to process in another body system |
present, or anatomic loss or alteration |
16 – 25% |
Specialty: Sports Medicine & Rehabilitation, Endocrinology