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Aged 21 cases of hyperthyroidism Misdiagnosis

21 outpatient and inpatient down old hyperthyroidism misdiagnosed as follows 1 general information on clinical data of 11 of the 21 cases} 7 were males, F 14 {aged 60 to 75 years, mean age 65 years, asked shortest {1 misdiagnosed weeks, the longest 3 years, the average time of 3.9 months of misdiagnosis, and finally were blood T ... T, TSH test diagnosed with hyperthyroidism. 1.2 Clinical manifestations; of the 21 cases, no symptoms of high metabolic down 16 (76.2), a high metabolic syndrome in 5 cases (23.8) no enlargement of the thyroid, 6 {down (28.6% .) Thyroid 1. Swelling, 11 down (52. {), Thyroid I. Swelling in 4 cases (190); 15 patients without proptosis (71.4), 5 cases of benign exophthalmos (23.8),[link widoczny dla zalogowanych], pour in 1 malignant exophthalmos (4.8) 1.3 misdiagnosis: 8 cases of coronary heart disease misdiagnosed as chronic colitis 3 down, neurosis, or autonomic dysfunction in 3 patients. Digestive tract can occur with hyperthyroidism old evil of chronic diarrhea without typical clinical manifestations of hyperthyroidism, hyperthyroidism the thyroid hormone directly enhanced gastric motility Xiamen big appetite, increased food residues Erzhi chronic diarrhea. Therefore, the elderly unexplained diarrhea should check the thyroid function nervousness and other emotional instability, it is often misdiagnosed as neurosis or plant neurological disorders. prompt diagnosis of these diseases for the elderly should be excluded from hyperthyroidism. 2.5 misdiagnosed as gastrointestinal cancer in 2 patients. hyperthyroidism from solid old insidious disease, the symptoms are not typical. with weight loss, anorexia, constipation, etc., it is often misdiagnosed as gastrointestinal cancer. Tip old unknown primary solid weight loss, anorexia, constipation, etc. should be wary of hyperthyroidism. 2.6 2 misdiagnosed as periodic paralysis cases. are due to non-performance of a typical misdiagnosis of hyperthyroidism, so the diagnosis of periodic paralysis, the elderly should be listed first when Chen eye disease misdiagnosed as hyperthyroidism 2.7 1 case of unilateral exophthalmos with hyperthyroidism and without the typical performance of misdiagnosis. Therefore, for non- conflict with the performance of typical hyperthyroidism, especially the elderly also have to check the thyroid function of 2.8 misdiagnosed as cerebral arteriosclerosis, and depression in 1. solid expression of indifference slow, slow, step language, memory, etc. alkali misdiagnosed as brain back atherosclerosis and depression prompted the elderly often apathetic hyperthyroidism hyperthyroidism for the performance. should be vigilant; animal husbandry, mixed back to the date issued on the date 1998-07-12 Mino Pi Yun 19999126 1. embroidery ~-Fq7 【vein sclerosis and depression, the reverse ass J'2 .1 people do not fly in hyperthyroid patients with hyperthyroidism 60 years on. elderly people do not step see hyperthyroidism. In hyperthyroid patients on age 'of the elderly can be accounted for more than 30. elderly people a degree of thyroid fibrosis and atrophy, thyroid hormone secretion alkali step,[link widoczny dla zalogowanych], slowing down to speed. Chol peripheral tissue of the thyroid is also tangled in response to change. older these physiological changes, resulting in the elderly is not typical clinical presentation of hyperthyroidism in this group 2l poured in 76.2% of patients without high metabolic symptoms; 28.6% of patients had no goiter, thyroid is only 52.4 I. enlargement; 71.4 exophthalmos in patients with no clinical manifestations of these are not typical,[link widoczny dla zalogowanych], easily lead to 2.2 8 misdiagnosed as coronary heart disease misdiagnosed down. which coronary heart disease atrial fibrillation 5 down, coronary heart disease well premature ventricular contractions in 2 cases, heart failure a fall. misdiagnosed due to no awareness of hyperthyroidism can be sentenced to a single elderly arrhythmia or heart failure as the first performance. hyperthyroidism due to metabolic hyperthyroidism, increased oxygen consumption and thyroid orderly organization acting on the cardiovascular system, increase of myocardial contractility, heart rate.} the elderly can occur in patients with hyperthyroidism of various arrhythmias associated with ischemic and more heart disease,[link widoczny dla zalogowanych], hyperthyroidism can precipitate or aggravate heart failure. Therefore, the elderly alone, or arrhythmia as the main manifestation of heart failure occurs when the original solid unknown, should be alert to atypical hyperthyroidism 2.3 misdiagnosed as chronic colitis in 3 cases. misdiagnosed original solid that is not noted in asymptomatic post-traumatic hematoma amidships Analysis of 46 cases in Tongzhou, Beijing Luhe Hospital Medical t10114g) f Fort Wong car power) of traumatic intracranial hematoma due to cerebral compression and obvious symptoms and signs of intracranial hypertension, mantis on the bed are more common and easy to diagnose; However, such traumatic intracranial hematoma is not. injury in stable condition with no obvious symptoms, the CT scan found the back of intracranial hematoma, _ relative step function, see the bed, often misdiagnosed or missed diagnosis. volume larger occult intracranial hematoma, prone to sudden deterioration of the disease, the occurrence of hernia, must be given]. in our hospital from April 1994 ~ August 1997 to receive such treatment of traumatic intracranial hematoma, 46 cases with literature as follows. 1 1.1 General information clinical data: 35 males and 11 females. men, women and a 3.18:1. age from 4 to 71 years,[link widoczny dla zalogowanych], an average of 34 years. The causes of injury: Accident 26 | ', coma the cranial