病史及症状（Medical history and symptoms）.docVIP

病史及症状（Medical history and symptoms） First, medical history and symptoms: Onset of slow, early fatigue, fatigue, weight gain, cold tolerance. Then lethargy, unresponsive, low and rough sound, facial swelling, dry skin roughness, hair loss, abdominal distension, constipation, facial color, yellow, sexual desire, infertility / infertility, menstrual disorders. [edit this paragraph] two, physical 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. [edit this paragraph] three, auxiliary check: (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 and TRH stimulation tests are helpful for differential diagnosis of primary, pituitary and hypothalamic hypothyroidism, with elevated blood cholesterol and triglyceride levels. (two) thyroid uptake decreased by 131, and thyroid hormone increased in thyroid receptor resistance patients, but there were still symptoms of hypothyroidism. (three) ECG showed sinus bradycardia; (four) chest X-ray enlargement of the heart, and some pleural effusion. [edit this paragraph] four, differential diagnosis: It should be differentiated from renal edema, anemia, congestive heart failure and so on. 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 is treated with thyroid hormone replacement therapy. Start at a small dose, so that the minimum dose of TSH to normal is maintained for a long period of time. Older, sicker or with heart disease, the starting dose should be