Question 252 · LEK · Hypothyroidism
A patient receiving lithium for psychiatric indications reported to a GP. Medical history revealed no other chronic disorders. The patient complained of fatigue, decreased exercise tolerance, feeling cold, increased sensitivity to cold and constipation. What could be the reason for the patient’s complaints?
- A. hypothyroidism as a side effect of lithium treatment.
- B. hypoparathyroidism as a side effect of lithium treatment.
- C. adrenal insufficiency as a side effect of lithium treatment.
- D. A and B are true.
- E. A and C are true.
Hint
Fatigue, cold intolerance and constipation form a classic hormone-deficiency picture; consider which gland lithium most often suppresses.
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