PMR and Thryoid issues

What red flag condition increases with PMR

Giant cell arteritis

Is a new headache in paitents over 50 a red flag

Yes

What can intolerance to fatty meals suggests

Heptobilary pathology

How can hyperthryoidism present with Msk symptoms

Proximal mm weakness and stiffness - particularly affecting the hips and shoulders.
Fine muscle tremors.

What red flags could be present with hyperthryoidism

Osteoporosis, increased fracture risk, hyperreflexia

What are the main systemic symptoms of hyperthryoidism

Weight loss and increased appetite
Heat intolerance - increased sweating
Tachycardia and palpitations
Increased bowel movements

How can hypothryodism present with Msk symptoms

Myalgia
Muscle stiffness and cramping
Carpal tunnel syndrome due to tissue swelling
Relaxation of DTR

What are the main systemic sympotms of hypothyroidism

Weight gain
Cold intolerance
Constipation
Bradycardia
Slowed cognition

When should you suspect thyroid dysfunction during a MSK assessment

Unexplained proximal mm weakness
Generalised aches, stiffness
Temperature intolerances
Changes in bowel habits and heart rate
Weight changes