Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Diffuse thyrotoxic goiter ++ 242.0 Toxic diffuse goiterPT diagnoses codes that may be secondary to thyroid disorders.315.4 Developmental coordination disorder709.2 Scar conditions and fibrosis of the skin719.70 Difficulty in walking involving joint site unspecified728.2 Muscular wasting and disuse atrophy, not elsewhere classified728.89 Other disorders of muscle, ligament, and fascia729.9 Other and unspecified disorders of soft tissue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ E05 Thyrotoxicosis (hyperthyroidism)E05.0 Thyrotoxicosis with diffuse goiter ++ 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissue dysfunction4E: Impaired joint mobility, motor function, muscle performance, and range of motion associated with localized inflammation6B: Impaired aerobic capacity/endurance associated with deconditioning +++ Description ++ Graves’ disease is an autoimmune disorderOveractivity of the thyroid gland (hyperthyroidism)Produces excessive amount of thyroid hormoneEnlargement of the thyroid gland +++ Essentials of Diagnosis ++ Diagnosis is made by the symptomsThyroid hormone testOnset of symptoms is often insidiousSymptoms build over a period of time, which can delay diagnosis +++ General Considerations ++ Diagnosis for more occult problems may take time and require intensive medical diagnostic testingMay cause pathology in multiple organ systemsGI: liverCardiovascular: heart, peripheral circulation, blood pressureIntegumentaryMay result in secondary problemsAerobic capacity and muscle endurance impairmentSarcopeniaWeakness/impaired muscle performanceMusculoskeletal problemsNeuromuscular problemsWeight gain indicating the need for PT intervention, depending on severity +++ Demographics ++ Higher incidence in young women: 5 to 10 times more commonMost common form of hyperthyroidism in childrenPresents during early adolescenceLess common in blacksGender: females at greater risk +++ Signs and Symptoms ++ PTs may treat conditions caused by hyperthyroid or treat patients with hyperthyroid for other pathologies that are unrelatedGraves’ ophthalmopathy: red or swollen eyes, bulging or protruding eyeballs, impaired vision, inflammation, light sensitivityEye irritationDouble visionEnlarged thyroidFatigueWeight lossBulging of eyesPretibial myxedema (PTM)Possible goiterTachycardiaCardiac: atrial fibrillation, arrhythmias, palpitationsRacing/rapid pulseHigh blood pressureHyperactivitiyDifficulty concentrating and focusingHeat intoleranceSweating, clammy skinConfusion, disorientationDiuresisMuscle WeaknessTremorsNeck painUnexplained weight loss with inability to gain weightDifficulty swallowingChange in voiceHeart diseaseDyspnea, shortness of breath with exertionAirway obstructionIncreased appetiteMenstrual disturbance, irregularityIncreased bowel frequencyBreast development in menClammy skinDiarrheaHair lossHand tremorItchingNausea and vomitingSkin blushing or flushingDifficulty sleepingOsteoporosisNervousness/anxiety +++ Functional Implications ++ Severe symptoms such as immediacy of need to urinate, increased volume of urine, and increase in bowel frequency may be disabling and result in inability or reluctance to ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process 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 Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.