A person with too little thyroid hormone secretion, his eyebrow arch outside the 1/3 of the eyebrow hairs are not grown,
Thyroid enlargement symptoms of thyroid hormone secretion is called hyperthyroidism, too little is called hypothyroidism. Both can cause goiter. But the goiter is not necessarily caused by hyperthyroidism and hypothyroidism, or perhaps by the lack of iodine or pubertal development of iodine needs to increase, and intake is not enough to cause.
The clinical expression of hypothyroidism: the main symptoms are cold, poor, constipation, memory loss, few hairs, slow reaction, hoarse voice, generalized edema, tongue hypertrophy, dry and rough skin, palm skin ginger, fatigue, bradycardia and so on. Because of the many causes of hypothyroidism, there is no fixed way to prevent it, too much or too little iodine intake may promote hypothyroidism.
The content of hyperthyroidism is more, specific as follows:
The clinical expression of hyperthyroidism? The most common is female, the ratio of male to female is 1:4~6, 20~40 years old is more. The onset of the disease is slow. Typical symptoms: hypermetabolic syndrome goiter, eye signs? The disease is often atypical in the elderly and pediatric population. There is a tendency for the disease to increase in adolescents. Hyperthyroid hormone syndromeHypermetabolic syndromeMental, neurological, cardiovascular, digestive, musculoskeletal, reproductive, endocrine, hematopoieticHyperthyroid hormone syndromeHypermetabolic syndrome? Heat production is greater than heat dissipation→heat exhaustion and sweating, warm and moist skin, hypothermia? Exhaustion is greater than intake → decreased body weight, fatigue and weakness → differentiation is greater than synthesis → cholesterol ↓ protein differentiation ↑ body weight ↓ urinary creatine excretion ↑ glucose tolerance is very thyroid hormone over-excretion syndrome mental, nervous system excitement is the main? The syndrome is characterized by a high degree of sensitivity, hyperactivity, nervousness and anxiety, anxiety and anger, sleeplessness and restlessness, and a lack of concentration of thoughts. Inconcentration of thoughts, loss of recollection, fantasy, hypomania or psychosis. Fantasy, hypomania or schizophrenia? Occasional apathy? Signs: tremor (hands, eyelids, tongue) thyroid hormone over-excretion syndrome cardiovascular system? Symptoms: palpitations, chest tightness, shortness of breath, etc. Signs: tachycardia: still fast during rest and sleep, heart rate is inversely correlated with the metabolic rate Wyatt sound: apical region of the second heart sound is hyperactive, there are often ⅰ ~ ⅱ systolic pure tone Arrhythmia: atrial pre-systole, atrial fibrillation, atrial flutter heart net deletion: so that the heart failure blood pressure change: the pulse pressure difference deletion of the digestive system? Excessive appetite and hunger? Increased frequency of bowel movements, no abdominal pain? Liver damage: liver size, liver function is very, jaundice? Anorexia, so that the amount of malodorous fluid, more common in the elderly musculoskeletal system? Hyperthyroidism myopathy: acute rare, chronic more common, more involved in the scapula and pelvic girdle muscle groups, progressive muscle weakness and muscle atrophy? Periodic numbness: common in young oriental males, blood potassium decreases during the onset of the disease, urinary potassium is not high, and it is related to the increase of na-k pumping, which causes potassium transfer? With severe muscle weakness: the main involvement of the eye muscle group? Osteomalacia graves' telangiectasia: deleted subperiosteal osteitis, with an external shape resembling a pestle finger? Reproductive system: Reduced menstruation or amenorrhea in women. In men, there is impotence and occasionally mammary gland development. The reproductive capacity of both sexes is reduced. The excretory system late blood acth and cortisol ↑ (when the excitement), followed by ↓ (by t3, t4 containment)? Hematopoietic system low leukocyte fraction, peripheral blood lymphocytes ↑, anemia, platelet lifespan shortening, may present with purpura goiter? Diffuse, symmetrical enlargement of varying degrees, moving up and down with swallowing? Soft, non-indurated, and tougher in chronic cases? Tremor with vascular pure tone is the main sign of the diagnosis of this disease? The degree of enlargement has no significant relationship with the severity of hyperthyroidism. 25~50% of the patients have no eye signs, and protruding eyes are the main and more specific signs of hyperthyroidism. There are two types of eyes, the pure and the humid proptosis, the pure and the humid proptosis, the common eye signs: the eyeball bulges forward <18mm, the transient eye reduction (stellwag sign), the upper eyelid contracture, the vongraefe sign, the joffroy sign, the mobius is often no blindness symptom, the sympathetic excitation caused by the extraocular muscle and the levator muscle chiropractic force increase related to the sympathetic nervous excitement, can often be recovered, the prognosis is good? Dipping synophthalmos is less common, about 5%? The symptoms of goiter are due to the hormone secretion is too little or too much to be how to separate, in the symptoms of what is the difference? The actual eyeballs are usually a lot more than the eyeballs, but the eyeballs are more than the eyeballs, so the eyeballs are more than the eyeballs. The eyeball is more bulging >19mm, severe eyeball fixed closure incomplete, corneal exposure? With autoimmune related, orbital soft tissue swelling, deletion and ocular myopathy, swelling and shrinkage of the special clinical expression of hyperthyroidism cardiomyopathy? Most common in men, about 10%~20%, with ↑ spring and ↑? Diagnostic criteria of hyperthyroidism diagnosis understand the heart net deletion, arrhythmia, heart failure to lift coronary heart disease and other embracing heart disease after hyperthyroidism control heart net deletion, arrhythmia, etc. can be restored thyroid crisis for hyperthyroidism deterioration of severe manifestations of the high rate of demise? Mechanism: blood th ↑, rapid ↑ body to th tolerance ↓ adrenergic nerve excitability ↑? Indications: high fever (>39 ℃) heart rate ↑ (140 ~ 240 beats / min) agitation, shortness of breath, profuse sweating nausea, vomiting, diarrhea, collapse, shock, lethargy or delirium, the end of coma wbc ↑, t3, t4 ↑? Causes: when the excitement, disease, th overdose, mental trauma, surgery, iodine anterior tibial mucous edema? It is an autoimmune lesion, accounting for about 5% of cases, and can be present in all cases. Most commonly seen in the lower 1/3 of the anterior tibial area, but also in the limbs behavior back, ankle, shoulder, etc.? Symmetry, thickening, thickening, tough, brown-red or reddish-brown or dark purple-red protruding plaques or nodules → thick as orange peel or bark-like, like elephant skin legs.