![[의학] 체중증가 PBL-1](http://images.happyhaksul.com/thumb/493/492410-0001.gif)
![[의학] 체중증가 PBL-2](http://images.happyhaksul.com/thumb/493/492410-0002.gif)
![[의학] 체중증가 PBL-3](http://images.happyhaksul.com/thumb/493/492410-0003.gif)
![[의학] 체중증가 PBL-4](http://images.happyhaksul.com/thumb/493/492410-0004.gif)
![[의학] 체중증가 PBL-5](http://images.happyhaksul.com/thumb/493/492410-0005.gif)
![[의학] 체중증가 PBL-6](http://images.happyhaksul.com/thumb/493/492410-0006.gif)
![[의학] 체중증가 PBL-7](http://images.happyhaksul.com/thumb/493/492410-0007.gif)
![[의학] 체중증가 PBL-8](http://images.happyhaksul.com/thumb/493/492410-0008.gif)
![[의학] 체중증가 PBL-9](http://images.happyhaksul.com/thumb/493/492410-0009.gif)
![[의학] 체중증가 PBL-10](http://images.happyhaksul.com/thumb/493/492410-0010.gif)
![[의학] 체중증가 PBL-11](http://images.happyhaksul.com/thumb/493/492410-0011.gif)
![[의학] 체중증가 PBL-12](http://images.happyhaksul.com/thumb/493/492410-0012.gif)
![[의학] 체중증가 PBL-13](http://images.happyhaksul.com/thumb/493/492410-0013.gif)
![[의학] 체중증가 PBL-14](http://images.happyhaksul.com/thumb/493/492410-0014.gif)
![[의학] 체중증가 PBL-15](http://images.happyhaksul.com/thumb/493/492410-0015.gif)
![[의학] 체중증가 PBL-16](http://images.happyhaksul.com/thumb/493/492410-0016.gif)
![[의학] 체중증가 PBL-17](http://images.happyhaksul.com/thumb/493/492410-0017.gif)
![[의학] 체중증가 PBL-18](http://images.happyhaksul.com/thumb/493/492410-0018.gif)
![[의학] 체중증가 PBL-19](http://images.happyhaksul.com/thumb/493/492410-0019.gif)
![[의학] 체중증가 PBL-20](http://images.happyhaksul.com/thumb/493/492410-0020.gif)
분야
ppt2.HISTORY
3.PHYSICAL EXAMINATION
4.DIFFERENTIAL DIAGNOSIS
5.ALGORITHM
6.CHECK LIST - HISTORY TAKING
7.CHECK LIST – PHYSICAL EXAM
8.IMPRESSION
9.DIAGNOSTIC PLAN
10.THERAPEUTIC PLAN
11.ABOUT HYPOTHRYOIDISM
ABOUT TREATMENTS
ABOUT FOLLOW-UP
Cause
Autoimmune Hypothyroidism
Clinical manifestation
Treatment
Reference
“약을 복용하시다가 만약 증상이 돌아온다던가 심해진다던가 하면 바로 병원을 찾으셔야 하구요. 열심히 약을 복용하시되 증상이 좋아졌다고 해서 절대 임의적으로 약을 끊지 마시고, 빼먹고 못 드신 약에 대해서는 솔직하게 말씀해 주셔야 합니다.”
* 서서히 발생하고 진행속도가 느리기 때문에 환자마다 증상발현이 다양
(1) 피로, 무기력, 기억력 감퇴, 의욕상실
(2) 식욕저하, 체중증가, 한랭 불내성, hypothermia.
(3) 변비, paralytic ileus, 위산분비 감소
(4) Myalgia, muscle cramp, paresthesia,
(5) Puffy face, edematous eyelids, non-pitting pretibial edema, dry coarse skin(푸석푸석한 피부), pallor yellow skin color, 탈모, sweating 감소
(7) 월경과다, 성욕감소, 무배란, 불임
(8) Myocardial contractility 감소, bradycardia, pulse pr. 감소, cardiac output 감소
Harrison’s Internal medicine 17th ed
Goldman - Cecil Medicine, 23rd ed
First aid for the USMLE step2 clinical skills, McGraw-Hill, Tao Le
Hypothyroidism, American Thyroid Association (www.thyroid.org)
