Friday, March 7, 2008
What are the clinical hyperthyroidism performance?
In hyperthyroidism, diffuse toxic goiter (Graves' disease) is most common, more common in women. Incidence can alleviate emergency conditions can be re-light, typical performance : a high metabolic syndrome patients often ① asthenia, bulimia, diet weight loss. ② Heat intolerance sweating, skin warm and humid, can be accompanied by low heat. Crisis may have high fever. 2, mental, nervous system nervous, to say much more, consider more tension, irritability, irritability, disturbed sleep, thought to be unable to concentrate, memory loss. Sometimes there are hallucinations, or even the performance of the Asian mania or schizophrenia. Dual performance as taciturn depression, and looked weak. Also reaching, eyelids, etc. Shengua minor tremor. 3, cardiovascular system may have heart palpitations, chest tightness, shortness of breath. Tachycardia, atrial fibrillation is severe, enlarged heart and heart failure. Elevated systolic blood pressure, diastolic blood pressure decreased pulse pressure increases. 4, loss of appetite, digestive hyperthyroidism often more fresh weight. Elderly patients with hyperthyroidism have anorexia and anorexia. Frequent diarrhea. 5, musculoskeletal system most patients with myasthenia gravis and muscle atrophy. Chronic proximal myopathy is mainly muscle weakness and atrophy, male patients with periodic paralysis. 6, the female reproductive system often reduce or amenorrhea, menstruation, male impotence, occasionally a man such as gynecomastia. 7, goiter most diffuse, symmetry swelling, swelling with the degree of severity of hyperthyroidism no obvious relationship With swallowing movements can be moved up and down. Tremor is palpable, listening to a vascular murmur. 8, eye performance as the amount does not wrinkle, as under the eyelid later charged; Exophthalmos and less blink, cleft wide cohesion difficult. Exophthalmos benign without feeling malignant exophthalmos symptoms. Exophthalmos also known as malignant invasive exophthalmos, endocrine exophthalmos, exophthalmos degrees in 18 mm, it will be eye muscle paralysis, periorbital edema, patients often v. photophobia, tearing, eye pain hurt. 9, the other patients had mild anemia. Children and the elderly performance was not typical. Therefore, hyperthyroidism typical performance summarized as follows : exophthalmos, neck thick, excited Maung, the Heat intolerance, sweating, hand tremors; Diarrhea, bulimia, myasthenia gravis, palpitations, weight loss, menstrual chaos; Exophthalmos benign without feeling. Malignant exophthalmos symptoms.
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