(精编)【医学教学课件】Graves′ orbitopathy教学课件.pptVIP

*;Case report: Graves’ Disease;P.E. : diaphoresis, cachexia, a resting HR 110 beats/min, and a diffusely enlarged, nontender thyroid gland; lid retraction, mild proptosis,and conjunctival injection. The pt had been aware of a mass growing in the anterior neck for the previous 6 years and recent hair loss, heat intolerance, and a resting tremor. Thyrotropin levels were suppressed, at 0.01 mIU/L (reference range, 0.49 to 4.67). Total levels of triiodothyronine and thyroxine were elevated, at 791 ng/dL (reference range, 79 to 149) and more than 24 μg/dL (reference range, 4.5 to 12), respectively