Protocol clinic naÅ£ional: âTireotoxicozaâ - AcasÄ - Ministerul SÄnÄtÄÅ£ii
Protocol clinic naÅ£ional: âTireotoxicozaâ - AcasÄ - Ministerul SÄnÄtÄÅ£ii
Protocol clinic naÅ£ional: âTireotoxicozaâ - AcasÄ - Ministerul SÄnÄtÄÅ£ii
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<strong>Protocol</strong> <strong>clinic</strong> naţional „Tireotoxicoza”, Chişinău 2008<br />
<strong>Protocol</strong> <strong>clinic</strong> naţional „Tireotoxicoza”, Chişinău 2008<br />
C.1.2. C.1.2. Algoritmul de de diagnostic al al tireotoxicozei (semne <strong>clinic</strong>e şi şi anamne-<br />
anamnestice sugerînd sugerînd tireotoxicoza. Indicii Indicii <strong>clinic</strong>i <strong>clinic</strong>i de tip Newcastle de tip Newcastle sugestivi)<br />
sugestivi)<br />
Scăzut + T3,<br />
T4 crescuţi<br />
TSH<br />
Crescut + T3,<br />
T4 crescuţi<br />
RIC,<br />
Scintigrama tiroidiană<br />
RMN, TC, Test TRH<br />
Negativ<br />
Pozitiv<br />
Crescut<br />
Scăzut<br />
Adenom<br />
hipofizar TSH<br />
Sindrom Refetoff<br />
hCG<br />
crescut<br />
Tablou<br />
<strong>clinic</strong><br />
evocator<br />
VSH<br />
Anti-TPO<br />
ABC<br />
„malign”<br />
PBI<br />
crescut<br />
Scintigrama<br />
„albă”<br />
Scintigrama<br />
întreg corp<br />
„fluture” +<br />
TSI<br />
prezenţi<br />
TGT sau<br />
tumori<br />
trofoblastice<br />
Tiroidite<br />
Nodul unic<br />
captator +<br />
Ecografie +<br />
Querido<br />
Cancer<br />
funcţional<br />
„tablă de<br />
şah” +<br />
ecografie +<br />
Anti-rTSH<br />
absenţi<br />
Tireotoxicoze<br />
factice<br />
Iod-Basedow<br />
(atenţie<br />
anamneza)<br />
Captare<br />
metastaze<br />
Hipertiroidie<br />
prin<br />
metastaze de<br />
cancer<br />
folicular<br />
Captare<br />
pelvis<br />
Guşă<br />
ovariană<br />
Boala Graves<br />
Basedow şi<br />
variante<br />
Adenom<br />
toxic<br />
GMNT<br />
Forme <strong>clinic</strong>e fercvente de tireotoxicoză<br />
15<br />
16
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