갑상샘염의 진단과 치료 - diagnosis and treatment of Thyroiditis
- 최초 등록일
- 2010.05.30
- 최종 저작일
- 2010.05
- 4페이지/ 한컴오피스
- 가격 1,000원
소개글
갑상샘염의 진단과 치료를 요약해놓았습니다.
목차
Classification
Acute Thyroiditis
Subacute Thyroiditis
Silent Thyroiditis
Chronic Thyroiditis
본문내용
Acute Thyroiditis
Disorders of the Thyroid Gland: Harrison`s Principles of Internal Medicine, 17th
SYMPTOMS :
•thyroid pain : often refered throat or ear
•small, tender goiter
•fever
•dysphagia
•erythema over thyroid
DIFFERENTIAL DIAGNOSIS OF THYROID PAIN :
•subacute or chronic thyroditis
•hemorrhage into a cyst
•malignancy : including lymphoma
•amiodarone-induced thyroditis
•amyloidosis
but, abrupt onset and clinical features of acute thyroditis rarely cause confusion.
CLINICAL FEATURES :
•ESR↑, WBC↑
•thyroid fuction : normal
•FNA biopsy : infiltraion of polymorphonuclear leukocytes
TREATMENT :
•Antibiotics : by Gram stain or by culture of the FNA biopsy
•Surgery : needed to drain an abscess
COMPLICATIONS : uncommon with prompt use of antibiotics
•tracheal obstruction
•septicemia
•retropharyngeal abscess
•mediastinitis
•jugular venous thrombosis
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