Hypothyroidism HOPC and SOCRATES Fatigue Decreased physical activity Decreased sweating Hair loss Weight gain Constipation Bradycardia Hypothyroid myopathy Myalgia Stiffness Cramps Entrapment syndromes e.g. Carpal tunnel syndrome Woltman sign: a delayed relaxation of the deep tendon reflexes Voice hoarseness Abnormal menstrual cycle Galactorrhea Lactations of males and females who are not breastfeeding Decrease libido, erectile dysfunction, delayed ejaculation and infertility in men Impaired cognition (especially in older people) Concentration memory Somnolence Depression Hypertension Goitre (Hashimoto) or atrophic thyroid (atrophic thyroiditis). Hoarseness Character Ask generally Low pitched Voice volume Weak voice Qualitative Affecting daily life Ability to speak Ask generally Time course Time questions Previous episodes Anything makes it better Rest Meds Contexts and aggravating factors Context at onset Ask generally about aggravating factors Lifestyle changes Ideas Associated features: Cough Fever Headache Sweating Chest pain Smell changes Taste changes Swollen tonsils Tonsil redness Shortness of breath Difficulty swallowing Muscle and/or joint pain Medications Prescribed Non-prescribed General history Vaccinations Tests and procedures Allergy Past medical history Family history Social Travel Smoking Alcohol Infectious contacts Differentials Upper airway cough syndrome Cough Frequent cough clearing History of allergic rhinitis Laryngitis Cough Fever Muscle pain Sore or dry throat Enlarged lymph nodes Throat clearing Influenza Cough Fever Muscle pain Appetite changes SOB Tonsillitis Cough Fever Nausea Headache Tonsil redness Difficulty swallowing Hypothyroidism Rash Headache Bradycardia Hair loss Obesity Weakness Community acquired pneumonia Cough Coughing sputum that is yellowish green SOB Fever Chills Nausea Headache Chest pain Malaise Muscle and joint pain Infectious mononucleosis Fatigue Fever Malaise Rash Headache Swollen tonsils SOB COVID-19 Fever Loss of sense of taste Loss of sense of smell Muscle pain SOB