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Hypothyroidism in the Elderly
Signs and Symptoms
14
Medical
Undergraduate 1
04/28/2011

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Cards

Term
Fatigue
Definition
Subtle, attributed to aging
Term
Dermal changes
Definition
hyaluronic acids binds to H2O. Causes edema (hands, eyes, feet)
Term
Skin appendages
Definition
Hair loss, madarosis, decreased growth
Term
CVD changes
Definition

CHF = common; Angina = uncommon.

Dec. in inotropic and chronotropic effects

Isolated Diastolic Hypertension

Term
EKG changes
Definition

Sinus bradycardia = Primary heart block

Low voltage, flattened T waves

ST segment changes secondary to minor pericardial effusion

Term
Respiratory System
Definition
Pleural effusions = common
Term
GI
Definition

Constipation

Weight neutral or minimal gain

B12 Deficiency = anemia

Term
Nervous System
Definition

Decreased vibratory and position senses (B12 effect)

Clumpy Gait (mimics parkinson's disase)

Slow Mentation/memory

Night blindness = Common

Term
Musculoskeletal System
Definition

Sore muscles

Mimics arthritis or rheumatism

Term
Osteoporosis
Definition
Iatrogenic disease = secondary to excessive thyroid replacement
Term
Renal/electrolytes
Definition

Dec. blood flow

Impaired water excretion

Hyponatremia

Term
Hematopoietic
Definition

Macrocytic anemia (B12) OR

Normocytic, normochromic anemia

Increased capillary fragility and bleeding

Term
Cardiac Markes
Definition

Elevated homocysteine levels

Subclinical hypothyroidism risk factor for MI in women

Term
Energy metabolism
Definition

Dec lipid metabolism = second cause of hypercholesterolemia

Decreased insulin response and secretion

Decrease peripheral glucose uptake

Slow degradation of insulin

Decreased Appetite

Patients w/ DM and hypo = inc. sensitivity to exogenous insulin

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