History taking
Review of System(ROS)
General appearance : generalized weakness, easy fatiguability, weight Loss(6kg/3month), insomnia, skin itching
HEENT : foreign body sensation on eye
Respiratory system : dyspnea on exertion
Cardiovascular system : dyspnea on exertion, palpitation
Genitourinary system : oligohypomenorrhea
Musculoskeletal system : muscle weakness
Neuropsy
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.)