Hypothyroidism Diagnosis from Clinical Scoring

Are you evaluating a patient for clinical evidence of hypothyroidism?

Yes

Does the patient complain of or show ?

• hoarseness?

Yes

• paraesthesias?

Yes

• dry skin?

Yes

• constipation?

Yes

• impaired hearing?

Yes

• slow movements?

Yes

• delayed relaxation of the ankle reflex?

Yes

• coarse skin?

Yes

• periorbital puffiness?

Yes

• cold skin?

Yes

Select an appropriate answer for each finding

Sweating in hot weather or a warm room

Change in body weight

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Symptom subscore

Physical signs subscore

Total score

Which indicates that the patient is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Differential Diagnosis - Low TSH - Normal Serum Free T4 and T3 Levels
Other Testing
- Myxedema Coma Screening Tool
Criteria For Diagnosis
- Clinical Diagnostic Index of Crooks et al for Thyrotoxicosis
Differential Diagnosis And Mimics, Red Flags
- Autoimmune Thyroiditis with Graves Disease Associated with Immune Reconstitution During HIV Therapy
- Differential Diagnosis - Low TSH - Normal Serum Free T4 and T3 Levels

Therapy

Dosage Calculations
- Equation of Ojomo et al for Dosing Levothyroxine Following Total Thyroidectomy
Dosage Adjustments
- Equation of Ojomo et al for Dosing Levothyroxine Following Total Thyroidectomy

Monitoring

Adverse Effects
- Interferon Induced Thyroiditis (IIT) in Patient with Hepatitis C

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Clinical Score of Zulewski et al for Hypothyroidism

Purpose: To evaluate a patient for clinical evidence of hypothyroidism using the clinical score of Zulewski et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10