[臨床醫(yī)學(xué)]甲狀腺入門教育-資料下載頁
2025-03-22 02:52本頁面
【正文】 aves病的必要指標(biāo) ? 特殊檢查 – TBG（甲狀腺結(jié)合球蛋白） – total TT4, TT3 （總甲狀腺激素） – Tg(甲狀腺球蛋白 ), 降鈣素 甲狀腺激素檢查參考標(biāo)準(zhǔn) （成人） ? TSH – mU/L ? fT4 – ng/dL (9–23 pmol/L) ? fT3 – ng/dL (– pmol/L) ? TT4 – 181。g/dL (58–160 nmol/L) ? TT3 80–180 ng/dL (– nmol/L) ? TBG 13–30 mg/L (220–510 nmol/L) ? 尿碘中位數(shù) 100–300 181。g/L (– 181。mol/L) 甲狀腺捫診 ? 對(duì)甲狀腺的體積、結(jié)節(jié)、活動(dòng)性及疼痛感的評(píng)估 ? 在患者前方或后方觸診 ‘Have the patient lean his head back and swallow, while you look for enlargements on either side of the Adam’s apple. Place your thumbs on both sides of the Adam’s apple and palpate in a slow and firm upanddown motion, feeling for an enlargement’ 甲狀腺超聲檢查 ? Measurement of thyroid volume and detection of nodules, cysts and calcifications ? Reference values for thyroid volume (P97): women 18 mL, men 25 mL R = right lobe, L = left lobe, T = trachea, A = artery, V = vein 甲狀腺細(xì)針穿刺 (FNAB) ? 在 B超引導(dǎo)下用細(xì)針刺破甲狀腺結(jié)節(jié)或囊腫 ? 鑒別診斷惡性甲狀腺結(jié)節(jié)（甲狀腺癌） 核醫(yī)學(xué)掃描 (=Scintigraphy) ? Injection of radioactive techium pertechnate (Tc99m) or radioactive iodine (I123) ? Scan for over and underactive (hot/cold) areas ? Indication: nodular goitre Which Thyroid Test Would You Perform to Screen for Thyroid Dysfunction? 1. Thyroid antibodies 2. fT4 and fT3 3. TSH 4. Ultrasound 5. All of the above Which Thyroid Test Would You Perform to Screen for Thyroid Dysfunction? 1. Thyroid antibodies 2. fT4 and fT3 3. TSH 4. Ultrasound 5. All of the above Correct Answer: 3 Ultrasound can be used to screen for goitre and nodules, not for function
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