- Medications
- Radiation to head and neck
Clinical Manifestations:
- Fatigue.
- Constipation.
- Apathy
- Weight gain.
- Memory and mental impairment and decreased concentration.
- Masklike face.
- Menstrual irregularities and loss of libido.
- Coarseness or loss of hair.
- Dry skin and cold intolerance.
- Menstrual disturbances
- N umbness and tingling of fingers.
- Tongue, hands, and feet may enlarge
- Slurred speach
- Hyperlipidemia.
- Reflex delay.
- Bradycardia.
- Hypothermia.
- C ardiac and respiratory complications.
Laboratory Assessment
- Decreased T3
- Decreased T4
- Increased TSH