病史及症状（History and symptoms）.docVIP

病史及症状（History and symptoms） A medical history and symptoms: Slow onset, early fatigue, fatigue, weight gain, not cold. Then, lethargy, unresponsiveness, voice low and rough, puffy face, dry rough skin, hair loss, abdominal distension, constipation, pale yellow wax, decreased libido, infertility / infertility, menstrual disorder. [editor this paragraph] two, the examination found: Rough skin, the body in different degrees of myxedema, lower limbs obviously, anemia, tongue body fat, hoarseness, thyroid enlargement, heart rate, heart enlargement, severe pericardial effusion, and pleural and peritoneal effusion. [editor this paragraph] three, auxiliary examination: (a) the levels of serum TT3, TT4, FT3, FT4 and rT3 were decreased, and T4 decreased significantly than that of T3, thyroid specific antibodies such as TmAb, TGAb can increase primary hypothyroidism with increased TSH, pituitary hypothyroidism or TSH increased hypothalamic hypothyroidism. TSH, the TRH test is helpful in differentiating primary hypothyroidism, pituitary and hypothalamus, blood cholesterol, triglycerides often increased. (two) 131 iodine thyroid uptake rate decreased; thyroid receptor in patients with resistance to thyroid hormone increased, but still had symptoms of hypothyroidism. (three) ECG showed sinus bradycardia; (four) chest X-ray, cardiac enlargement, partial pleural effusion. [editor this paragraph] four, differential diagnosis: It should be differentiated from renal edema, anemia, congestive heart failure etc.. According to the primary disease and patients with rT3, and low T3 syndrome differentiation, hypothyroidism symptoms and galactorrhea symptoms with prolactinoma identification. [1] adult hypothyroidism with thyroid hormone replacement therapy. Starting from a small dose, in order to make TSH to the minimum dose to maintain the normal amount of long-term use. Older, sicker or with heart disease patients, the initial dose should increase the dose should be smaller, more slowly. T