Discussion group 1

Member of group 1
Lian Anggina
Gun Gun Gunarto
Rezza Ikramulah
Haris
Hareza
UNIVERSITAS MALAHAYATI
Keywor Hipotes
Problem
d a

Dont Learning
Know issue Conclusion
 Keyword
nervousness,fatigue , palpitations
resting hand tremor
difficulty concentrating at work

has been more irritable with her coworkers

persistent rash over her shins that has not improved with the use of

topical steroid creams

weight loss of about 10 lb ,insomnia, and amenorrhea for the past 2

months
on examination, she is afebrile. her pulse varies from 70 to 110 beats/min
she appears restless and anxious

her skin is warm and moist

her eyes show evidence of exophthalmos and lid retraction bilaterally

neck examination reveals symmetric thyroid enlargement, without any

discrete palpablemasses
cardiac examination reveals an irregular rhythm
 Problem
She has problem resting hand tremor ,
difficulty concentrating at work and has
been more irritable with her coworkers
 Hipotesa
The hipotesa is hyperthyroidism
 Dont know
DEFINISION
Etiology

Symptoms
Risk factors
Physical examination and
investigation
Treatment and education
COMPLICATION
 DEFINISIO
N
etiology
Learning
Issue
symptoms

Risk
Factor
s
Complication Treatment Physical
and examination and
investigation
enducation
DEFINISION
Hyperthyroidism is a condition
caused by a clinic excessive secretion
of thyroid hormones are thyroxine
(T4) and triiodothyronine (T3). Also
found an increase in the production of
triiodothyronine (T3) as a result of
increasing the conversion of thyroxine
(T4) in the peripheral tissues.
.
Etioligy
The disease is a form of hyperthyroidism
tiroktoksikosis most often encountered in
daily practice . Can occur at any age , often
found in women than men .
Hyperthyroid disease pathogenesis has so
far not known
The mechanism of autoimmunity is an
important factor in the pathogenesis of
hyperthyroidism
symptoms
Patients complain of fatigue , trembling ,
can not stand the heat , sweat more when
hot , moist skin , weight loss despite
increased appetite , palpitations ,
tachycardia , diarrhea and weakness and
muscle atrophy .
 Risk factors

Occurs more in women than in men

At the age of 50 years
Post traumatic emotional
Increased stress
 Physical examination and
investigation
Physical examination in establishing the diagnosis of
hyperthyroidism is not only assess the thyroid gland
Physical examination may begin with examination on
the head and neck . examination begins with an
inspection of the thyroid gland in the neck front and
side with the patient sitting . Every scar , mass , and
distended veins that look to be recorded . After that ,
palpation of the gland tirod by asking the patient to
flex the muscles in the neck so that the neck rather
slack palpable thyroid gland of the patient and the
presence of the patient
Investigation : Although the measurement of blood
TSH levels are best screening tool in assessing
thyroid function , but the severity of hyperthyroidism
less can be judged by the examination
 Treatmen
. 1. conservative : pharmacotherapy
a) Anti-thyroid: to inhibit the formation of
thyroid hormones.
Drugs Examples: Propiltiurazil (PTU),
methimazole (Tapazole)
Indications: In hyperthyroid disease.
2. b. non-pharmacological : diet,not

comsume alcohol and ciggarettes

3.Operative
 complications
1. thyroid storm. Urgent situations
characterized high fever, rapid heart rate and
irregular (atrial fibrillation), unconscious until
death. This condition can occur as a result of
taking medications that are not disciplined.
2. abnormality the eye in the form of dry eyes,
impaired vision, easy to infection, wound up
blind.
3.Hipertensi, heart rhythm disorders to heart
failure.
4.Osteoporosis
 conclusion
Hyperthyroidism is a condition caused by an
excessive secretion of clinical thyroid
hormones thyroxine (T4) and
triiodothyronine (T3).