A 21 year old lady presented with history of tiredness, weight gain, depression and excessive somnolence. What will not be seen: March 2012

Ans: D i.e. Tachycardia Most cases of hypothyroidism are not clinically obvious, however, and a high index of suspicion needs to be maintained so that the diagnosis is not overlooked in the middle aged woman complaining of non-specific symptoms such as tiredness, weight gain, depression or carpal tunnel syndrome Signs of hypothyroidism includes weight gain, anaemia, bradycardia, hypeension, delayed relaxation of tendon reflexes, dermal myxoedema etc.