16 cases of senile Misdiagnosis of Hyperthyroidism.docVIP

 PAGE \* MERGEFORMAT 8 16 cases of senile Misdiagnosis of Hyperthyroidism [Keywords:] senile hyperthyroidism; Misdiagnosis Age-related clinical manifestations of Graves disease is not typical, out-patient number to coronary heart disease, diabetes, heart disease or dilated enteritis, chronic gastritis and other hospital treatment or income, together with the coexistence of other diseases, the original factors of the elderly, and some medical staff extremely little consideration to the thyroid disease, can easily result in misdiagnosis and missed diagnosis. are summarized 16 cases of senile hyperthyroidism misdiagnosis reported as follows. 1 Clinical data 1.1 General Information The group of 16 patients, 4 males and 12 females; female minimum age of 61 years, maximum age 86 years, male 60 years minimum age, maximum age of 77 years. Which was diagnosed as coronary heart disease, 4 cases of chronic enteritis 4 cases, expanding heart disease in 2 cases, 2 cases of senile heart disease, chronic gastritis in 1 case, 1 case of neurosis and brain atrophy in 1 case, 1 case of diabetes. misdiagnosed average of 6 months to 2 years. 1.2 Example 1 typical case, the patient, female, 86 years old. Because of chest tightness, heart palpitations for 2 years, diarrhea, fever, increased 1 week .2 years ago in a hospital admission diagnosis of “coronary heart disease”, long-term use, “Salvia,” and other drugs. History there sweating, fatigue, decreased body weight in six months 15kg. when you have diarrhea, chest tightness, nearly 1 week, increased heart palpitations, fatigue increased, dyspnea on exertion, only bed, and the emergence of anorexia, insomnia, few words. examination: T 37.8 , P 115/min, expression of indifference, moderate size without weight loss, skin moist, eyes the ball without prominent, no enlargement of the thyroid, no tremor, no vascular murmur, under the expansion of the left heart border, heart rate 158 times / min, rhythm absolutely irregula