Hyper! olden FEAEW © © (dr. As Malbut As Sp PD raf ak ante) IE otuctable Sate koe 131 (Diserdersiop The Tayrota- Kelowyor thyroid: berfbingst menghasitkon shonin > WY Ts. 14, dan Kalsitoutw gejala demupa. Huyrotartoosis , wemicn Horwon Falsttouln . | demyut jantung Tr protein syuthesis, 7 | Apabita Fatsitowin? ponumpukan Kalsiuim wetabolisme, Jo. Lumumnya wana wuda) |: Apabila Kalsitoutn L ve ti Asteoposis | Malin tymptom + Ia: % Oi aad Pewbesaran [tlever tyro . i) Weigut Loss OO tao » x goadote v menandakon , 3 as e00 : teradinya. toidiig 8) Tat u vt “ae ) ! 4 Froptvaius COB Noduter igfuse q “| Cropi bisa —Ctept tidak diraba) bisa. dirabo) Tuwor gordok —_per/hipogungr | dan juga puumuer’s disease, daw factions aL Exawivation’ © Wypertiyroidinn 2 memicu Koreuo. obat bom 9 Dataug Kosta duduk Unat penouupilow is te a ¢ 2) luspeksi bagian leker dan gerokaw mendan | ‘i Cobat aut arttta) 2) Patpast dar boglam depan /beLakang + Ddympteut Hf Hgperthyroiddave dengan yung jar tanger Brrr! oid Wargit loss 4) Vebertow’s sigh (x6ye problews weuilad apakah ado Penyuuubatounr ‘terawbok, ‘Peuberaraw Foley fuigrle dengan wiengaugtar faugan Featas | "Sheet tatolruce " wuka— merah SaHteart palpttatton Lbedeborr, debar) wgrotor, DiseaserSpectnams Saclubbiug fiuger Lbiasa terjadé pada Anew * | Shueerhey Bach fidak lancar) def Fe) Overt hypotuyrotdison TSH 710, 4b Subcuinical, hupotiagroidiswn TSH 74,74 Mormoks Gutluyeord TSH 0¢4- 4,0, 14 Normal Byala Eworional daw Hy pertuyrotaisun Muda vervous Teyadkt Pulsus Coma. Subalitca bypertytnidisun TSH S64 /73/Tq Restless ness {yatta firtolxe T deastolzk Overt huypertuyroidisw — TSH <0,0l, t/TatT IWwounta, >. “CDE s e yaluaci fungst thyroid oy vc ! 2 * ta tn + Hepetag tia merupakon peayokee autorun ta | v2 gid neni aia | ‘eta igre femghatau yt auttbodu 1d. menghasitken bo | nen » : ee ‘ange aac ae, [Flog Teeattay convirowmentay, dedatan deugaut 4uxyrotoxtcosis ogato Grave Nojsu wakon T BBL persian eto! un terkentt * ‘xopthaluus ‘Bug. Bye” OG ‘Teluna teuha dapertiyrotdicwn) . Tockyeardio, sige fas fh © tiyotortcos woupokan gyal youg | uibul, akibat, Felebition, hora thyrid. outer: beltea, haw, Hiperpigmentan” Arkon apabila, goala- gelatyrotoniy pops} ' Gan bee Raa setae Yess 3 The tyndrone (qaubaran kuas) 3 Feleujour thagrotoh a hypertfrien |. tyrotoatcosic a. Pembesarau Kelenior diffuse: Scanned with CamScannerT od A. Dermopathy —s atlekan tidak Remabale Riology Of Grave's _Fawtly disportion —» patiug peubug luteal Feature, Grave's Diseare Squeptonts ~> Keluan pasien (B61 F1) Fgn 9 apa yaug didopattau ole douter Cowtolr: exopthaliaus « Hayrotc Sayed Dermopitay MADE er ee Penobaton kulit de halt dibawah 5 a. altbor peummpukou olikofamtrnglikoun Mautgertasi Kuiuis t . - vuixoedema ~ ubbiug finger 4) OpthaLmopathy Grave's disease, Ly lugitiratty — Sym pathere overstimulation X Ud retrocion CDalryupho's sign) # Vou graves FignUiate palpebra dup) K Stellwat s sige ( wink oyes late) * 2 Jeprays sign. (fols of forehead, not see) Tepitturournay = Vory potent ada poteut = Ao actuy —fluga Short acy = Praguant 2% cae peguant vw : 1 Vewho penta = aa ') Auguran pewbedaha Tq 2 TS Jangou Lakukow Surg Vapabita toxic Karena kemunghinan Kasir thyroid ako |, bador thyroid DRfek Somptug Allergic reaction “Agranulouytosis tpenekanan Susu tulaug) “Jaundice Ckoutrol wata Kuniug) , Aver Fonure SPembedakan an Mr rdecto' me Subtotar thyrevdectomy — teal opal 3 Sudals, euteyyorr © NPeugobatau low e- blocker phenobarbital 03 sedative # Mobius's sagu Coowvergetion eyes lated isles hirauiees [upto autormmund ? =p fgpotayet 4 Exoptiaumus tpemuupukan) * SS oe H Oewlopatuy cougesti, + Chetiuosis — “F ? Beau, wuughitts, edema percarbtab, Gore + Todtue defictency nea Yo Gombe : TSH deficiency Dp anne) a2 |) Mewtartenadinyn myxedema oe * a - Z Cojah nypotagraidisun 0) Dtiperdani pidesws “Simeake Feleuivun 100 meg 2 ‘)Hgpotugiadéiun = ada ower, EB Pemborian Preduisolov o 2) Greakiewn = lpokigrtaln veg “sDraguosis Of Graves Disease TSHE 347 4 acto pada. Tap ntit } NHL. T4T hupothaLawus 3) duvenite utpotutroidiew : Beans oo) id. auto autiboates — WO roidicun i in yas Thader © penyebab utawa, Wcpotiyytoidteun. yarn, eur abila TSH ¥, P14 Norwal —» oe rok a Tsh L, 14 WY — perksa TS | Tal Us tyrotoxicosi), py (subctinical | 's pease hapotyrtam) Ureatmouts of Grave Le rmi CRIV , mebacmacele, prop ) Awittrgrtd drugs fe Titoamides : womblock thyrid hormone | Cardioe manizestation | [ apabila dengan Card nate | Curouic-tyratats CHastaimoto’s) dapat yuge disebabkan penganh dbat bemupa amlodarone dla Walia Tymptons oF lypotayrotairun = Cold Tutolerauce, & Slow digestion * 2 1DB Mt S- Apathetic Face vw S biittle flugernads — So Kourkpan’ 5 Corpor tunnel Syudome vw Scanned with CamScanneroo eee a “thyroid. aubimmunty Revie’ CTugroract” (ar. tHuawan Samust, fp 0 -een) of - TPAD YY ! Relainan berupa radang yang TOAD | Degentst : teget paae lew Ang » tokete Chieti: berupa teak cudbhun wavy, ~ bevotiyronine Several axyet a ~ Corticosteroid. Cliutcal course B. Pedel s Hyroiainisy cL Vac Ffiology + bolum di ketal feature = Carouic D clinical f 2sten datang dengan Tagen, > tes me ac" inate iow tard, woody ) trausieut pase thywtoxtcosis y St wt pales “hypottagreidisun fk bop Postuless or paieygull Diagnosis Defemtrive —> ny Ktassigitasi yroidctis @ Treatment T. Autoimmune thyrotditis ~ Corticosteroid Chronic autoimmune dhyroiacn's ~ Tamoxipen Mettrobrexce Y Hasutwoto § tayrordcts | ronine —? bypotirriditun Y Hoople thyroiditis ) ¥ Toca tuyreiacis e. ee rae de Ours f v Juvenile tuyroiaarss Umumuya direbabhon ole Tugeksi virus | TL . Subacute tuyroiactis don disertod rasa yen . Pada fase D- Acute. yporaie thyreidats | Perjatanon penyalur , Seup ee ee DB . Medel’s # Wiperthyrotdcem pada fase Tuylamasy [oer yoru ns Fag B Temertsann lab : I - esr t y teria) | wiorobiak Taflamnratny —> Suppurative , Acwle | = leukosit T jase. bipor eu, hupie : tiymidttee FR TH, Paw ® A. Haguiate Agree | Kelainou Twunitas Amana Goagostt | O Treatment wmeyjadi lebih Seusites tac au eu taped, Syutomanic + Acetowtnophen / dow weuyebabkau teats auloaies 9 ‘cot. Autibodt tuyroid pada Hr = Cpreduxan) 4) Thyjoglobutin awibody (Toa) | p blockers —s tuyrotoricos, 4) Thyroid. peroxidase autibods (TPOAB)-Aana a 2) reer hesiag it gee pura -Pab bod) |B PRology Tuyectious = Staphytococeus a © unica, {eatutes HT Qureud > preseut uate “goiter” © Clinical teatwies | > Best fwd hypotproid | > Meck pain, Warm, tenderness b 7 patuless | | > Dysphagia « dysphovia daupor WH Pemeritoan Lab | Fuara paroy > Tal tit 7 FIMA U Remerttsaan lab > ToAb + Tro Ab Ct) Hurtle cor” 7 TRO Ab xx > PMw \ Eee re. Scanned with CamScannerAuttbiotics Ech fe Etiology + Jaumolela typ Syplans Tuberculosie Treatment + Autibiatle Comon soa: Seorang Jerempuon doctaug dengan Folukan wyere, bevgkak daw Sango salut apabita diceutul - Terdapor ka fade Fake ada wayat Di I Diagnosis Acute Suputahve Scanned with CamScannereee eee em eee Hypotnyrard. face * Apathetic face % Patera ptosis # Hilaug eyebrows Pemerttcoan Lab LN % atawty -N TSH WMoslicnicto's Tayroidens) fowily predispotition ole gen HlA- DRS atoupun Hla - DRS pathogenesis Odegective function of thyrotd-spectfic Suppressor T cell —y enmorgence of helper T cell Teackve with thyroid Agents Ohelper T cell stimulate B cell to secrete Outithyroid autibodies yaug melawaw Thyroid peroxidase, TSH receptor , Todine, transporter Treatment of Hppothyrotdizw “> penyuuhhan 74 Clevotyroxtue) Cowmplicatton of HypoHyroi disun Myxedema Coma yaug piasanya dtandar 3) Respiratory Forwure \ 8) Hypotension 4 Hypoualrewia. 9) Hypoglicender Scanned with CamScanner