Академический Документы
Профессиональный Документы
Культура Документы
Sumber :
http://www.anatomy.yalemedicine.org/VisibleHumanLessonPlans.
Reference.medscape.com/thyroid Anatomy
Sumber : http://www.anatomydiagrams.net/muscle-anatomy-diagram/
Sumber : http://jama.jamanetwork.com/article.aspx?articleid=186627
www.youtube.com/thyroid hormone & thyroid function test
www.primaldocs.com
Sumber : http://www.nature.com/nrendo/journal/v10/n10/full/nrendo.2014.143.html
Thyroid Disease ??
Struma
Perubahan ukuran
atau bentuk tiroid
Non
toxic
Nodul
Diffuse
Maligna
Nodular
Benigna
Toxic
Perubahan sekresi
hormon
Pembesaran
difus/struma/goiter
Diffuse
Toksik
Neoplastik
Hipertiroidisme
Nodular
Tiroiditis
Hipotiroidisme
etiologi
Sumber : www.slideshare.net
Sumber : http://cureconnect.info/
Wayne index
Management hyperthyroid
The management of hyperthyroidism involves 3
inter-related aspects:
1. Inhibition of thyroid hormone synthesis and
secretion (ATDs)
2. Destruction or reduction of thyroid tissue
mass (radioactive iodine therapy or surgery)
3. Minimalization of thyroid hormone effects
on peripheral tissues (beta-blocker therapy)
Sumber : Indonesian Clinical Practice Guidelines for Hyperthyroidism 2012, The
Indonesian Society of Endocrinolog
Hamil
URACIL
ATD
IMIDAZOLE
Krisis
tiroid/thyroid
storm
Methimazole
(dosis : 10-20
mg/hari)
Alergi obat
Carbimazole
thiamazole
Surgery :
total thyroidectomy, subtotal thyroidectomy, lobectomy,
Terapi hipotiroid
Efek samping
Durante
op
Krisis tiroid
tracheomalazia
Post operasi
Perdarahan
Parese n.
laringeal
recurrent
Hipokalsemi
Compartment
syndrome effect
Struma
Non toxic
Diffuse
Nodular
Toxic
Diffuse
Neoplastik
Neoplastik
Nodular
Tiroiditis
KARSINOMA TIROID
pertumbuhan tidak terkontrol dari sel yang
terjadi pada kelenjar tiroid
Insidensi meningkat seiring meningkat usia,
dgn puncak pada usia 21-40 tahun.
Wanita 2-4 kali lebih sering
Berasal dari sel folikular parafolikular
Faktor risiko :
Klasifikasi
Klasifikasi karsinoma tiroid berdasarkan
histopatologi mayor,
Karsinoma papiler (80%)
Karsinoma folikuler
Karsinoma anaplastik
Karsinoma meduler
Karsinoma epidermoid
Well
differentiated
Poor differentiated
DIAGNOSA
Curiga Keganasan Tiroid (Riccabona)
Diagnostic tools
Usg
TSH,
Anti-tiroid antibodi (DD : Hashimoto
thyroiditis)
Calcitonin serum (DD : ca medullary thyroid)
FNAB
STAGING
terapi
Tiroidektomi
Radioactive iodine ablation
TSH suppression therapy
Distant metastate/advanced cases :
radiotherapy-chemotherapy
Struma
Non toxic
Diffuse
Nodular
Toxic
Diffuse
Neoplastik
Nodular
TIROIDITIS
Tiroiditis
TIROIDITIS
Akut
Sub akut
Chronic
Jarang terjadi
Self-limiting disease
Manifestasi klinis
Akut-sub akut : fever, chills, neck pain, sore
throat, hoarseness, and dysphagia, weakness,
fatigue, malaise.
Chronic autoimmune thyroiditis :
- Goiter that is usually diffuse and nontender
- Symptoms of hypothyroidism: In children, this
frequently includes poor growth or short stature.
Adolescent girls may have primary or secondary
amenorrhea. Boys may have delayed puberty.
- Symptoms of hyperthyroidism: These may include
poor attention span, hyperactivity, restlessness,
heat intolerance, or loose stools.
DIAGNOSIS
diagnosis
Akut-sub akut tiroiditis :
hematologi
Kronik tiroiditis :
Terapi
Antibiotik parenteral, :
golongan cephalosporin
Simtomatik : aspirin,
propanolol, levothyroxin
(hypo)