All of the following are features of hypehyroidism except: September 2007
Correct Answer: Delayed deep tendon reflexes
Description: Ans. B: Delayed deep tendon reflexes Features of hypehyroidism Increased heat production - warm, moist skin, heat intolerance Telangiectasia, palmar erythema, pretibial myxoedema, onycholysis Weight loss, increased appetite, increased frequency of bowel movement but frank diarrhoea is uncommon. Oligomenorrhoea Tachycardia, exeional dyspnoea, hyperdynamic circulation; systolic hypeension is common and diastolic hypeension can occur in up to 30% of patients Tiredness, irritability, nervousness Fine tremor, hyperkinesias, hyperreflexia, muscle wasting There are eye signs in Graves' disease Others: Occasionally, bone pain due to osteoporosis In elderly patients, there may be atrial fibrillation or cardiac failure Alopecia, pruritus, pretibial myxoedema, acropachy (form of clubbing) Atypical presentation may include: Atrial arrhythmias in middle aged patients Severe proximal myopathy with normal CK values Deterioration or unmasking of myasthenia gravis Hypokalaemic periodic paralysis - especially in orientals Chronic diarrhoea Hypercalcaemia Osteoporosis Gynaecomastia
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