소개글
[내분비내과] Case 분석 -abdominal pain, nausea, vomiting에 대한 자료입니다.
목차
Patient Identification
Chief complaint
Present illness
Past history
Review of system(I)
Review of system(II)
Physical examination(I)
Physical examination(II)
Lab Data(1)
Lab Data(2)
Problem List
Assessment
Diagnostic Plan
Chest PA
Abdomen
CFS
USG
Thyroid scan
Diagnosis
Therapeutic Plan
Disease Review
1. Definition
2. Cause
Graves’ disease
1. Epidemiology
2. Pathogenesis (cont.)
3. Clinical manifestation
4. Laboratory evaluation
5. Diagnosis
6. Differential diagnosis
7. Evaluation
8. Clinical course
Treatment of Graves' disease
1. Antithyroid drug
2. Radioiodine
3. subtotal or near-total thyroidectomy
manage Graves' disease in pregnancy
Thyrotoxic crisis
Reference
본문내용
1. Graves’ disease
-antithyroid drug: PTU, carbimazole, methimazole
-radioiodine: 131I
2. Acute Gastro-Enteritis
-GFS f/u
Thyrotoxicosis is defined as the state of thyroid hormone excess and is not synonymous with hyperthyroidism
But, the major etiologies of thyrotoxicosis are hyperthyroidism caused by Grave’s disease, toxic MNG, and toxic adenomas
2. Pathogenesis (cont.)
Polymorphisms in HLA-DR, CTLA-4, and PTPN22 (a T cell regulatory gene)
The concordance for grave’s disease
- in monozygotic twins : 20-30%
- in dizygotic twins :