presentase hyperthyroidsm
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Transcript of presentase hyperthyroidsm
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Discussion group 1
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Lian Anggina Gun Gun Gunarto Rezza Ikramulah
Haris Hareza
Member of group 1
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UNIVERSITAS MALAHAYATI
Keyor!
"rob#em Hipo$es%
Don&$Kno Le%rningissue 'onc#usion
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nervousness,fatigue , palpitations resting hand tremor diculty concentrating at work has been more irritable with her coworkers persistent rash over her shins that has not improved with the use of
topical steroid creams weight loss of about 10 lb ,insomnia, and amenorrhea for the past 2
months on examination, she is afebrile. her pulse varies from 70 to 110 beatsmin she appears restless and anxious her skin is warm and moist
her eyes show evidence of exophthalmos and lid retraction bilaterally neck examination reveals symmetric thyroid enlargement, without any
discrete palpablemasses cardiac examination reveals an irregular rhythm
Keyor!
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She has problem resting hand tremor ,diculty concentrating at work and hasbeen more irritable with her coworkers
"rob#em
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The hipotesa is hyperthyroidism
Hipo$es%
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DE(INISI)N Etiology Symp$oms
Ris* f%c$ors "+ysic%# e,%min%$ion %n!
in-es$ig%$ion Tre%$men$ %n! e!uc%$ion ')M"LI'ATI)N
Don&$ *no
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Le%rningIssue
DE(INISI)N
e$io#ogy
symp$oms
"+ysic%#e,%min%$ion %n!
in-es$ig%$ion
Tre%$men$%n!
en!uc%$ion
Ris*
(%c$ors'omp#ic%$ion
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!yperthyroidism is a conditioncaused by a clinic excessive secretionof thyroid hormones are thyroxine
"#$% and triiodothyronine "#&%. 'lsofound an increase in the production oftriiodothyronine "#&% as a result of
increasing the conversion of thyroxine"#$% in the peripheral tissues.
.
DE(INISI)N
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#he disease is a form of hyperthyroidismtiroktoksikosis most often encountered indaily practice . (an occur at any age , often
found in women than men .!yperthyroid disease pathogenesis has sofar not known
#he mechanism of autoimmunity is an
important factor in the pathogenesis ofhyperthyroidism
E$io#igy
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)atients complain of fatigue , trembling ,can not stand the heat , sweat more whenhot , moist skin , weight loss despiteincreased appetite , palpitations ,tachycardia , diarrhea and weakness andmuscle atrophy .
symp$oms
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Ris* f%c$ors
•*ccurs more in women than in men•'t the age of +0 years•)ost traumatic emotional•ncreased stress
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)hysical examination in establishing the diagnosis ofhyperthyroidism is not only assess the thyroid gland)hysical examination may begin with examination onthe head and neck . examination begins with aninspection of the thyroid gland in the neck front andside with the patient sitting . -very scar , mass , anddistended veins that look to be recorded . 'fter that ,
palpation of the gland tirod by asking the patient toex the muscles in the neck so that the neck ratherslack palpable thyroid gland of the patient and thepresence of the patient
nvestigation / 'lthough the measurement of blood
#! levels are best screening tool in assessingthyroid function , but the severity of hyperthyroidismless can be udged by the examination
in-es$ig%$ion
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. 1. conservative / pharmacotherapy
a% 'ntithyroid/ to inhibit the formation ofthyroid hormones.
3rugs -xamples/ )ropiltiura4il ")#5%,
methima4ole "#apa4ole%ndications/ n hyperthyroid disease. 2. b. nonpharmacological / diet,not
comsume alcohol and ciggarettes &.*perative
Tre%$men
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1. thyroid storm. 5rgent situationscharacteri4ed high fever, rapid heart rate and
irregular "atrial 6brillation%, unconscious untildeath. #his condition can occur as a result oftaking medications that are not disciplined.
2. abnormality the eye in the form of dry eyes,
impaired vision, easy to infection, wound upblind.
&.!ipertensi, heart rhythm disorders to heartfailure.
$.*steoporosis
comp#ic%$ions
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!yperthyroidism is a condition caused by anexcessive secretion of clinical thyroid
hormones thyroxine "#$% andtriiodothyronine "#&%.
conc#usion