Marinir Cilandak DEFINISI (Sudoyo,W Aru,dkk) Tirotoksikosis vs hipertiroid Berdasarkan indeks klinis Wayne and Newcastle yang didasarkan . Indeks Wayne Gejala Yang Baru Timbul Dan Atau Bertambah Berat Sesak x/ menit Hipertiroid: ≥ 20 Eutiroid: 11 – 18 Hipotiroid: <11 (Sumber: Anonim, ). Dilanjutkan dengan pemeriksaan penunjang untuk konfirmasi diagnosis sis • Diawali oleh kecurigaan klinis. Berdasarkan indeks klinis Wayne.

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Thyroid disease during pregnancy.

Clinical scoring scales in thyroidology: A compendium

Newer clinical scores and grading systems have also been developed by workers, highlighting the numerous diagnostic developments and advances in the field. Hipertiroid yang terjadi pada anak-anak juga dapat menyebabkan gangguan pertumbuhan. The World Health Organization has classified goiter in a simple, objective manner, into three grades.

Hilang nafsu makan, mual atau muntah. TRAb levels should be measured when the etiology remains unclear. In hyperthyroidism, serum TSH wanye be less than 0.

Minimalization of thyroid hormone effects on peripheral tissues beta-blocker therapy. Sadly, however, these scores do not find place in current textbooks of surgery or medicine, having been discarded as being too old fashioned. The Indonesian Task Force on Thyroid Diseases determined that hyperthyroidism represents a priority area in need of updated evidence-based practice guidelines.

ATDs remain the treatment of choice for hyperthyroidism during pregnancy. A larger number of patients report dissatisfaction while on treatment.


Support Center Support Center. USG can detect thyroid lobes or lesions as small as 2 mm. Assays for estimating free T 3 are less widely-validated than those for free T 4and therefore measurement of total T 3 is frequently preferred in clinical practice.

Definitions of endemic goiter and cretinism, classification of goiter size and severity of endemias, and survey techniques. GD prognosis is well-reflected with remission and relapse rates.

Eayne assessment of hyperthyroidism manifestations, and especially potential cardiovascular and neuromuscular complications, is essential to formulating an appropriate treatment plan. The initial dose of PTU is high, starting with mg three times daily, depending on the severity of the hyperthyroidism.

LP Hipertiroid – PDF Free Download

Circadian variation and evidence of intrinsic thyrotopic activity of hCG. The management of hyperthyroidism involves 3 inter-related aspects:. This leads to considerable cost-saving.

The CAS is purely clinical, and helps select appropriate therapy for patients with Grave’s opthalmopathy. Kulit kering, gatal, ulkus kulit.

LP Hipertiroid

Sirkulasi kolaps, syok krisis tirotoksikosis. The signs are scored both positively and negatively, i.

Thyroid hormone replacement therapy should be given accordingly for a lifetime basis. Judicious decision-making in choosing the most well-suited therapy depends on several factors, such as the severity of hyperthyroidism, age, struma size and the presence of comorbidities.

The second group related to the enlargement of the thyroid, i. Disorientasi, mengantuk, lethargi, stupor atau koma tahap lanjutgangguan memori baru masa lalu kacau mental. Age and gender predict outcome of treatment for Graves hyperthyroidism. Nil, Conflict of Interest: A pregnancy test is mandatory for any woman of childbearing age who is receiving either diagnostic or therapeutic doses of radioactive iodine.


Diminished sweating is assessed in a warm room or a centrally heated hall Billewicz practiced in Aberdeen, Scotland. Tiroksin dan triiodotironin berfungsi meningkatkan kecepatan reaksi kimia dalam hampir semua sel tubuh, jadi meningkatkan tingkat metabolisme tubuh umum.

There are 3 treatment modalities that can be used: The utility of the Billevicz score lies in its ability to teach students about the clinical features of the disease. Another simple questionnaire known as the Thyroid Symptom Questionnaire TSQ has been used to detect[ 11 ] how patients feel on medication. The Billewicz score utilizes 8 symptoms and 6 signs to assess the thyroid status, and diagnose hypothyroidism.

National Center for Biotechnology InformationU. It is also more frequently found in females with a female-to-male ratio of 8: This article has been cited by other articles in PMC. Goiter, grading system, malignancy, ophthalmopathy, scoring system, Thyroid dysfunction, Thyroid screening. If a woman receiving such therapy becomes pregnant, therapy should be changed to an ATDs alone.

Abstract Hyperthyroidism remains as one of the major thyroid disorders in Indonesia.