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tambah Makan kurang Berat turun Berat naik Diare Konstipasi Mensis banyak Mensis sedikit Abortus Nilai apabila Tanda Positif Negatif +1 Gondok +2 Difus +2 Noduler +5 Adenoma single -5 Bising tiroid +3 Eksoftalmos Lid lag +3 Hiperkinesis -3 Tremor tangan +3 Tangan keringat -3 Tangan panas Fibrilasi atrium Nadi rerata/men Nadi regular >90 80-90 +2 <80 Nilai apabila Positif Negatif +3 -3
+2 +2 +1 +4 +1 +1 +2 +4 +3 0
-2
-2 -1 -2
0 -3
Klinis dianggap ada hipertiroid apabila skor yang diperoleh mencapai 20 atau lebih, kurang dari 10 tidak ada hipertiroid klinis dan antara 10-19 dianggap meragukan. Indeks diagnostik New Castle Item Age of onset Grade Score Item Grade 15-24 0 Hiperkinesis Present 25-34 4 Absent 35-44 8 Fine finger tremor Present 45-54 12 Absent 55 16 Pulse rate >90/m Psychological precipitant Present -5 80-90 Absent 0 <80 Frequent checking Present -3 Thyroid bruit Present Absent 0 Absent Severe anticipatory anxiety Present -3 Exophthalmos Present Absent 0 Absent Increased appetite Present 5 Lid retraction Present Absent 0 Absent Goiter Present 3 Absent 0 Euthyroid range -11 to +23, doubtful range +24 to +39 and toxic range +40 to +80 Score 4 0 7 0 16 8 0 18 0 9 0 2 0