Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Overactive thyroid ++ 242.20 Toxic multinodular goiter without mention of thyrotoxic crisis or storm242.90 Thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or stormPT diagnosis codes that may be secondary to thyroid disorders315.4 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 tissue780.7 Malaise and fatigue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ E05.20 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or stormE05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm ++ 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissue dysfunction6B: Impaired aerobic capacity/endurance associated with deconditioning +++ Description ++ Increased thyroid gland activityCharacterized by increased basal metabolic rateThe thyroid regulates metabolism and produces thyroid hormones (thyroxine [T4] and triiodothyronine[T3])Hyperthyroidism is a cause of thyrotoxicosis2 +++ Essentials of Diagnosis ++ It is not the purview of a PT to medically diagnose hypothyroid but rather to recognize the possibility in the differential diagnosis process, especially when findings are not consistent with conditions commonly treated such as musculoskeletal, neuromuscular, integumentary, and cardiopulmonaryPTs may treat conditions caused by hyperthyroid or treat patients with hyperthyroid for other unrelated pathologies +++ General Considerations ++ May 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 women2More difficult to diagnose in the elderly +++ Signs and Symptoms ++ Graves’ ophthalmopathy, red or swollen eyes, bulging or protruding eyeballs, impaired vision, inflammation, light sensitivityTachycardiaCardiac: atrial fibrillation, arrhythmias, palpitationsHeart diseaseRacing/rapid pulseHigh blood pressureHyperactivityDifficulty concentrating and focusingHeat intoleranceSweating, clammy skinConfusion, disorientationDiuresisWeaknessTremorsNeck painUnexplained weight loss with inability to gain weightDifficulty swallowingChange in voiceFatigue2Decreased activity toleranceSensitivity to coldDyspnea, shortness of breathAirway obstructionEnlarged thyroidIncreased appetiteMenstrual disturbance, irregularity2Increased bowel frequencyBreast development in menClammy skinDiarrheaHair lossHand tremorItchingNausea and vomitingSkin blushing or flushingDifficulty sleepingOsteoporosis +++ 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 leave homeSarcopenia resulting in ... 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.