presentase hyperthyroidsm

8/19/2019 presentase hyperthyroidsm

1/16

Discussion group 1


2/16

Lian Anggina Gun Gun Gunarto Rezza Ikramulah

Haris Hareza

Member of group 1


3/16

UNIVERSITAS MALAHAYATI

Keyor!

"rob#em Hipo$es%

Don&$Kno Le%rningissue 'onc#usion


4/16

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!


5/16

She has problem resting hand tremor ,diculty concentrating at work and hasbeen more irritable with her coworkers

"rob#em


6/16

The hipotesa is hyperthyroidism

Hipo$es%


7/16

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


8/16

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


9/16

!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


10/16

#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


11/16

)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


12/16

Ris* f%c$ors

•*ccurs more in women than in men•'t the age of +0 years•)ost traumatic emotional•ncreased stress


13/16

)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


14/16

. 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


15/16

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


16/16

!yperthyroidism is a condition caused by anexcessive secretion of clinical thyroid

hormones thyroxine "#$% andtriiodothyronine "#&%.

conc#usion

presentase hyperthyroidsm

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