Indianthyroidsociety - Diagnostic

Diagnostic Tests
Elveyna E MBBS, Sangeetha V MBBS, Bhattacharyya A MD DM MRCP

How will my hypothyroidism or hyperthyroidism be diagnosed?

The functional approach should start with a detailed history to elicit the symptoms of hypo- and hyper -thyroidism (Box-1).

Box-1 Top 5 Symptoms

Next is clinical examination for signs of hypo- or hyper-thyroidism (Box–2, Fig - 3).

Box-2 Top 5 Signs

Hypothyroidism	Hyperthyroidism
Dull, expressionless face	Tachycardia
Dried skin	Goitre
Obesity	Warm moist palm
Delayed relaxation of tendon jerks	Tremors
Bradycardia	Eye Signs

Fig. 3 - Photograph of nails showing Onycholysis in a patient with Hyperthyroidism.

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