甲状腺风暴 甲状腺风暴
Kathryn Ritter1, Carmen Wolfe1
1Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
这个实践案例有助于紧急医疗的住户和毕业生准备口头委员会考试,教他们识别和管理甲状腺风暴,一个关键的内分泌紧急情况. 它的重点是评估精神状态改变的患者和了解治疗方案.
科学领域:
- 紧急医疗 紧急医疗
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺风暴是一种危及生命的内分泌紧急情况,由过多的甲状腺激素引起.
- 它可以由各种因素引发,包括感染,手术和创伤.
- 及时识别和治疗对于预防死亡率至关重要,死亡率在10-30%之间.
研究的目的:
- 为紧急医疗 (EM) 居民和最近的毕业生提供一个实践口头板案例.
- 提高学习者的能力,以口头板形式评估精神状态改变的患者.
- 提高对甲状腺风暴诊断的理解,包括实验室检测,成像和药物管理.
主要方法:
- 开发和测试一个实践的口头板案例.
- 根据小组环境中来自EM居民学习者的反进行代改进.
- 通过来自EM医生的反和调查来验证为ABEM口头委员会考试做准备.
主要成果:
- 92%的参与者将案件质量评为优秀.
- 所有参与者都报告说,他们对甲状腺风暴有了更好的理解.
- 案例修订包括添加实验室结果,并根据反提高清晰度.
结论:
- 口头板实践案例在为ABEM口头板考试准备学习者方面是有效的.
- 该案例成功地提高了甲状腺风暴管理的理解和评估技能.
- 学习者的反对于完善最佳教育价值的案例至关重要.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.8K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.8K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K
Increased Body Temperature
712
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
712
Major Hormones and Their Functions
503
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
503
Increased pulse rate
693
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
693


