甲状腺与乳腺疾病(讲义)

cricothyroid muscle 4. Aneurysm of the arc of aorta Retrosternal goitre should be distinguished with aneurysm of the arc. Etiology of this disease remains unclear. In the present, a consistent opinion is that it is relative affirmatively with immune mechanism. Psychic trauma can induce hyperthyroidism. Genetic factor of family has a great affect on this disease. 1. Sex Distribution Male : Female = 1 : 4 or 1 : 6 3. Thyroid Swelling with various degree. Severity of hyperthyroidism is not direct proportion with swelling of thyroid. Sometimes, superficial serious varicose can be found ,blood murmur can be auscultated and fremitus can be palpated. (1) Non-infiltrating exophthalmos induced by high tensile force of eye muscles. (2) Infiltrating exophthalmos due to that fat behind eyeball increases accompanied with lymphocytes infiltration. 6. Circulation system heartbeat is strong and powerful; the heartbeat frequency fast; systolic pressure high and difference between systolic and diastolic pressure becomes large; left ventricle hypertrophy and atrium fibrovibration(?) can be found. 1. Basic Metabolic Rate (BMR) Examination Generally, crude exam is used. There are two methods: a. BMR(%) = ( pulse rate + difference 1. between SP and DP ) 111 2. b. BMR(%) = 0.75 pulse rate + 3. ( 0.74 *