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甲状腺疾病:有效利用诊断工具。

Thyroid disease: Using diagnostic tools effectively.

机构信息

BMed (Dist), Endocrine Advanced Trainee, Department of Endocrinology and Diabetes, John Hunter Hospital, NSW.

BSc (Med), MBBS (Hons I), FRACP, Visiting Medical Officer Endocrinologist, Department of Endocrinology and Diabetes, John Hunter Hospital, NSW; Conjoint Lecturer, School of Medicine and Public Health, University of Newcastle, NSW; Endocrinologist, Newcastle Endocrinology, NSW.

出版信息

Aust J Gen Pract. 2021 Jan-Feb;50(1-2):16-21. doi: 10.31128/AJGP-10-20-5693.

DOI:10.31128/AJGP-10-20-5693
PMID:33543157
Abstract

BACKGROUND

Symptoms of thyroid disease are common, and patients often seek initial assessment from their general practitioners.

OBJECTIVE

The aim of this article is to assist with identifying the appropriate sequence of investigations for thyroid disorders, and identify investigations with low diagnostic yield in certain clinical contexts.

DISCUSSION

Common thyroid disorders - such as hypothyroidism, hyperthyroidism and thyroid nodules - require different sequences of investigations to assist with formulating a diagnosis and plan. Thyroid disorders are frequent in women of childbearing age and require a specialised approach. Awareness of less common thyroid conditions allows for individualised workup in these cases.

摘要

背景

甲状腺疾病的症状较为常见,患者通常会先向全科医生寻求初步评估。

目的

本文旨在协助确定甲状腺疾病的适当检查顺序,并确定在某些临床情况下诊断率较低的检查项目。

讨论

常见的甲状腺疾病,如甲状腺功能减退症、甲状腺功能亢进症和甲状腺结节,需要不同的检查序列来辅助诊断和制定治疗方案。育龄期女性中甲状腺疾病较为常见,需要采取专门的处理方式。了解不常见的甲状腺疾病可以在这些情况下进行个体化的检查。

相似文献

1
Thyroid disease: Using diagnostic tools effectively.甲状腺疾病:有效利用诊断工具。
Aust J Gen Pract. 2021 Jan-Feb;50(1-2):16-21. doi: 10.31128/AJGP-10-20-5693.
2
Differences in Diagnostic Criteria Mask the True Prevalence of Thyroid Disease in Pregnancy: A Systematic Review and Meta-Analysis.妊娠期甲状腺疾病的真实患病率因诊断标准的差异而被掩盖:系统评价和荟萃分析。
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3
[Thyroid autoantibodies].[甲状腺自身抗体]
Ned Tijdschr Geneeskd. 2015;159:A8802.
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Thyroid diseases in elderly.老年人的甲状腺疾病
Minerva Endocrinol. 2011 Sep;36(3):211-31.
5
[Thyroid dysfunction in the elderly].[老年人的甲状腺功能障碍]
Ugeskr Laeger. 2001 May 14;163(20):2770-3.
6
[Thyroid gland malfunction].[甲状腺功能紊乱]
MMW Fortschr Med. 2004 Feb 26;146(9):30-2, 34.
7
Subclinical thyroid disease.亚临床甲状腺疾病。
Br Med Bull. 2013;107:101-16. doi: 10.1093/bmb/ldt024. Epub 2013 Aug 6.
8
[Misdiagnoses and mismanagement in thyroid diseases (author's transl)].甲状腺疾病的误诊与管理不当(作者译)
Dtsch Med Wochenschr. 1981 Nov 13;106(46):1526-32. doi: 10.1055/s-2008-1070547.
9
Thyroid changes with aging: significance and management.甲状腺随年龄的变化:意义与管理
Geriatrics. 1987 Jan;42(1):86-8, 91-2.
10
[Diagnosis of thyroid gland disorders in general practice].[基层医疗中甲状腺疾病的诊断]
ZFA (Stuttgart). 1980 Oct;56(29):1893-6.

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Association between High Normal TSH Levels and Obesity in Women with Anti-Thyroid Autoantibodies (ATAs).抗甲状腺自身抗体(ATA)阳性女性中促甲状腺激素(TSH)水平略高于正常范围与肥胖之间的关联。
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