Thursday, September 4, 2008

Hyperthyroidism the diagnosis and differential

According to the clinical and laboratory examination can be diagnosed. In addition to the above diagnosis of the clinical symptoms and signs on, there should be two or more thyroid function tests or tests to confirm. Clinical and laboratory will be issued after the sometimes contradictory, the two will not completely consistent, this may be caused by many factors, such as laboratory error, the diagnostic criteria of the master, disease type, disease, drugs, catecholamine receptors sensitive And so on. In the differential diagnosis should pay attention to the following several diseases. First, simple goiter goiter, but no hyperthyroid disease, thyroid function tests were all normal. Second, the spirit of Neurosis syndrome and hyperthyroidism similar, but without the high metabolism of hyperthyroidism group, no appetite hyperthyroidism, hands-ju was rough tremor, sleep after a normal pulse rate of goiter and eye sign, normal thyroid function tests . Third, other causes of hyperthyroidism such as the pituitary of hyperthyroidism, autoimmune thyroiditis, subacute thyroiditis, different mice TSH, such as hyperthyroidism, can be ordered via the special inspection to be identified. Fourth, other weight loss, low heat with tuberculosis, cancer and other identification; chronic diarrhea and colitis, and other required identification; arrhythmia with rheumatic heart disease, myocarditis and coronary heart disease and other identification. Unilateral exophthalmos with orbital tumors identification.