Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Enlarged thyroid ++ 240.9 Goiter, unspecified241.0 Nontoxic uninodular goiter241.1 Nontoxic multinodular goiter241.9 Unspecified nontoxic nodular goiter242 Thyrotoxicosis with or without goiter242.0 Toxic diffuse goiter242.00 Toxic diffuse goiter without mention of thyrotoxic crisis or storm242.01 Toxic diffuse goiter with mention of thyrotoxic crisis or storm242.1 Toxic uninodular goiter242.10 Toxic uninodular goiter without mention of thyrotoxic crisis or storm242.11 Toxic uninodular goiter with mention of thyrotoxic crisis or storm242.2 Toxic multinodular goiter242.20 Toxic multinodular goiter without mention of thyrotoxic crisis or storm242.21 Toxic multinodular goiter with mention of thyrotoxic crisis or storm242.3 Toxic nodular goiter unspecified type242.30 Toxic nodular goiter, unspecified type, without mention of thyrotoxic crisis or storm242.31 Toxic nodular goiter, unspecified type, with mention of thyrotoxic crisis or storm242.40 Thyrotoxicosis from ectopic thyroid nodule without mention of thyrotoxic crisis or storm ++ E01.1 Iodine-deficiency related multinodular (endemic) goiterE01.2 Iodine-deficiency related (endemic) goiter, unspecifiedE03.0 Congenital hypothyroidism with diffuse goiterE03.1 Congenital hypothyroidism without goiterE04 Other nontoxic goiterE04.0 Nontoxic diffuse goiterE04.2 Nontoxic multinodular goiterE04.8 Other specified nontoxic goiterE04.9 Nontoxic goiter, unspecifiedE05.00 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or stormE05.0 Thyrotoxicosis with diffuse goiterE05.2 Thyrotoxicosis with toxic multinodular goiterE07.1 Dyshormogenetic goiterP72.0 Neonatal goiter, not elsewhere classified ++ 4E: Impaired joint mobility, motor function, muscle performance, and range of motion associated with localized inflammation16A: Primary prevention/risk reduction for cardiovascular/pulmonary disorders26B: Impaired aerobic capacity/endurance associated with deconditioning3 +++ Description ++ Enlarged thyroid gland, can result in decreased production of thyroid hormoneProlonged elevation of thyroid stimulating hormone (TSH)Weight gain or lossMay range from single or small nodules to significant enlargementMultinodular goiter4Enlargement can limit neck mobility and swallowing +++ Essentials of Diagnosis ++ FatigueDecreased activity toleranceSensitivity to coldAbnormal thyroid function testsThyroid enlargment +++ General Considerations ++ Diagnosis for more occult problems may take time and require intensive diagnostic testing, inability to afford testing and medications, noncompliance with medication regimenMay cause pathology in multiple organ systemsGI: liverCardiovascular: heart, peripheral circulation, blood pressureIntegumentaryMay result in secondary problems indicating need for PT intervention: aerobic capacity and muscle endurance impairment, sarcopenia, weakness, musculoskeletal problems, neuromuscular problems, weight gainHyperlipidemiaCan result in hyperthyroid +++ Demographics ++ Can occur in anyone throughout lifespan, beginning at birth (1 in 4,000 infants affected)Estimated 5 million people affected in the U.S., and an equal number undiagnosedHigher incidence in women and people aged 60 years and older +++ Signs and Symptoms ++ NauseaVomitingDiarrheaCoughingSweatingShaking agitationHoarsenessDizziness with arms overheadDifficulty swallowingSensitivity to coldSlowed or rapid heart rateConstipation... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth