Medical history (history of illness) represents an important component in the diagnosis of latent (subclinical) hyperthyroidism (hyperthyroidism).
Family history
- Is there a frequent history of thyroid disease in your family?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- What symptoms have you noticed?
- Palpitations (heart palpitations)
- Cardiac arrhythmias
- Accelerator heartbeat
- Decreased resilience
- Tremor
- Increased sweating
- Heat intolerance
- Has your appetite changed?
- Are you easily irritated?
- Do you have concentration problems?
Vegetative anamnesis including nutritional anamnesis.
- Has there been any change in bowel movements? Diarrhea?
- Has your body weight changed unintentionally? Please tell us your body weight (in kg) and height (in cm).
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
Self history including medication history.
- Pre-existing conditions (thyroid disease)
- Radiotherapy
- Operations
- Allergies
- Pregnancies
Medication history
- Amiodarone – antiarrhythmic drug (drug against cardiac arrhythmia).
- Contrast media containing iodine
- Iodine excess (50-60% of hyperthyroidism in the elderly is iodine-induced).
- Thyroid hormones – drugs such as L-thyroxine, which is used for hypothyroidism, after thyroid surgery or Graves’ disease, among others.