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  • Chronic lymphocytic thyroiditis
  • Autoimmune thyroiditis

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  • 244.0 Postsurgical hypothyroidism
  • 244.1 Other postablative hypothyroidism
  • 244.2 Iodine hypothyroidism
  • 244.3 Other iatrogenic hypothyroidism
  • 244.8 Other specified acquired hypothyroidism
  • 244.9 Unspecified acquired hypothyroidism
  • 245.0 Acute thyroiditis
  • 245.2 Chronic lymphocytic thyroiditis
  • Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related
    • 315.4 Developmental coordination disorder
    • 718.45 Contracture of joint of pelvic region and thigh
    • 719.70 Difficulty in walking involving joint site unspecified
    • 728.2 Muscular wasting and disuse atrophy, not elsewhere specified
    • 728.89 Other disorders of muscle, ligament, and fascia
    • 729.9 Other and unspecified disorders of soft tissue
    • 780.7 Malaise and fatigue
    • 781.2 Abnormality of gait
    • 782.3 Edema
    • 786.0 Dyspnea and respiratory abnormalities
    • 786.05 Shortness of breath

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  • E06.0 Acute thyroiditis
  • E06.3 Autoimmune thyroiditis
  • E89.0 Post-procedural hypothyroidism

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Description

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  • Autoimmune disease
  • Thyroid gland is gradually destroyed
  • Results in hypothyroidism
  • Enlargement of the thyroid

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Essentials of Diagnosis

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  • Thyroid gland becomes lobulated
  • Decreased activity tolerance
  • Sensitivity to cold
  • Abnormal thyroid function tests
  • Often misdiagnosed as fibromyalgia and depression

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General Considerations

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  • Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
  • May cause pathology in multiple organ systems
    • Cardiovascular: heart, peripheral circulation, blood pressure
    • Integumentary
  • May result in secondary problems indicating the need for PT intervention depending on severity
    • Aerobic capacity and muscle endurance impairment
    • Sarcopenia
    • Weakness/impaired muscle performance
    • Musculoskeletal problems
    • Neuromuscular problems
    • Weight gain, indicating the need for physical therapy intervention depending on severity
  • Gradual onset
  • Hyperlipidemia

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Demographics

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  • Can occur in anyone
  • Higher incidence in women, primarily middle aged
  • Tends to run in families
  • Between 0.1% and 5% of all adults

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Signs and Symptoms

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Functional Implications

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  • Severe symptoms such as immediacy of need to urinate may be disabling, resulting in the inability to leave home
  • Inability to afford testing and medications
  • Fatigue
  • Drowsiness
  • Infertility
  • Miscarriage
  • Heart disease
  • Decreased sex drive
  • Increasing weight with inability to exercise or move well
  • Sarcopenia resulting in
    • Weakness
    • Muscle mass loss
    • Inability to ambulate or perform self-care
    • Aerobic capacity limitation secondary to inactivity
  • Decreased exercise tolerance
  • Sleep disturbances
  • Changes in lifestyle
  • Eating disorders
  • Anxiety and depression
  • Can lead to problems with liver
  • Limitations in ADLs or IADLs
  • Systemic infection
  • Skin lesions from dryness
  • Neuropathy, increased risk for falls
  • Vision impairment, most often retinal
  • Prone to infections such as bacterial in the skin, fungal, urinary tract infections (UTIs), kidney
  • Potential for liver problems
  • Difficulty thinking clearly
  • Birth ...

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