, 근무력감, 월경 불규칙
Hyperactivity, irritability, dysphoria
Heat intolerance and sweating
Palpitation
Fatigue and weakness
Weight loss with increased appetite
Diarrhea
Polyuria
Oligomenorrhea, loss of libido
Signs
Tachycardia; atrial fibrillation in the elderly
Tremor
Goiter
Warm, moist skin
Muscle weakness, proximal myopathy
Lid retraction or lag
Gynecomastia
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.)
of thromboxane A2( vasoconstriction)
further platelet activation, potential resistance to thrombolysis
2) → conformational change in the glycoprotein ⅡbⅢa receptor.
→high affirnity for the sequence arginine-glycine-aspartic acid on the fibrinogen gamma chain
→ platelet cross-linking and aggregation
B. coagulation cascade
다양하다
어지럼증, diplopia, dysarthria, 양쪽 얼굴감각저하, ataxia, 신체 한쪽의 감각이상
반신불완전마비, 이명, 얼굴통증, 이상감각, nausea, vomitting, sense of tilting, 기억상실, 청력장애, 환각 등도 드물게 나타남
Posterior cerebral a.의 협착에 의한 TIA는 homonymous hemianopia 와 함께 반신의 이상감각을 보인다.
Korea is one ofthe countries that the population is aging very rapidly. Besides, aging rate of Korea is fastest in the world. But particularly more serious thing is that the level of welfare for the aged has not improved to keep pace with the speed of aging in Korea. Therefore the problems ofthe aged are appearing seriously and one of those is the elderly suicide. According to a recent statisti