Discussion group 1

Member of group 1

Lian Anggina
Gun Gun Gunarto
Rezza Ikramulah
Haris
Hareza

UNIVERSITAS MALAHAYATI
Keywor
d

Problem

Dont
Know

Learning
issue

Hipotes
a

Conclusion

Keyword
nervousness,fatigue , palpitations
resting hand tremor
difficulty concentrating at work
has been more irritable with her coworkers
persistent rash over her shins that has not improved with the use of
topical steroid creams
weight loss of about 10 lb ,insomnia, and amenorrhea for the past 2
months
on examination, she is afebrile. her pulse varies from 70 to 110 beats/min
she appears restless and anxious
her skin is warm and moist
her eyes show evidence of exophthalmos and lid retraction bilaterally
neck examination reveals symmetric thyroid enlargement, without any
discrete palpablemasses
cardiac examination reveals an irregular rhythm

Problem
She has problem resting hand tremor ,
difficulty concentrating at work and has
been more irritable with her coworkers

Hipotesa
The hipotesa is hyperthyroidism

Dont know
DEFINISION
Etiology
Symptoms
Risk factors
Physical examination and
investigation
Treatment and education
COMPLICATION

DEFINISIO
N

Learning
Issue

etiology

symptoms

Complication

Treatment
and
enducation

Risk
Factor
s

Physical
examination and
investigation

DEFINISION

Hyperthyroidism is a condition
caused by a clinic excessive secretion
of thyroid hormones are thyroxine
(T4) and triiodothyronine (T3). Also
found an increase in the production of
triiodothyronine (T3) as a result of
increasing the conversion of thyroxine
(T4) in the peripheral tissues.

Etioligy
The disease is a form of hyperthyroidism
tiroktoksikosis most often encountered in
daily practice . Can occur at any age , often
found in women than men .
Hyperthyroid disease pathogenesis has so
far not known
The mechanism of autoimmunity is an
important factor in the pathogenesis of
hyperthyroidism

symptoms
Patients complain of fatigue , trembling ,
can not stand the heat , sweat more when
hot , moist skin , weight loss despite
increased appetite , palpitations ,
tachycardia , diarrhea and weakness and
muscle atrophy .

Risk factors
Occurs

more in women than in men

At the age of 50 years
Post traumatic emotional
Increased stress

Physical examination and

investigation

Physical examination in establishing the diagnosis of

hyperthyroidism is not only assess the thyroid gland
Physical examination may begin with examination on
the head and neck . examination begins with an
inspection of the thyroid gland in the neck front and
side with the patient sitting . Every scar , mass , and
distended veins that look to be recorded . After that ,
palpation of the gland tirod by asking the patient to
flex the muscles in the neck so that the neck rather
slack palpable thyroid gland of the patient and the
presence of the patient
Investigation : Although the measurement of blood
TSH levels are best screening tool in assessing
thyroid function , but the severity of hyperthyroidism
less can be judged by the examination

Treatmen
. 1. conservative : pharmacotherapy
a) Anti-thyroid: to inhibit the formation of
thyroid hormones.
Drugs Examples: Propiltiurazil (PTU),
methimazole (Tapazole)
Indications: In hyperthyroid disease.
2. b. non-pharmacological : diet,not
comsume alcohol and ciggarettes
3.Operative

complications

1. thyroid storm. Urgent situations

characterized high fever, rapid heart rate and
irregular (atrial fibrillation), unconscious until
death. This condition can occur as a result of
taking medications that are not disciplined.
2. abnormality the eye in the form of dry eyes,
impaired vision, easy to infection, wound up
blind.
3.Hipertensi, heart rhythm disorders to heart
failure.
4.Osteoporosis

conclusion
Hyperthyroidism is a condition caused by an
excessive secretion of clinical thyroid
hormones thyroxine (T4) and
triiodothyronine (T3).