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Palpitation, diagnosis, treatment, 甲亢 (Differential Diagnosis, Symptoms),…

- - - - 符合
        
        CRP increase
        
        Lekocytosis
      - 不符合
        
        urine and blood cultures all negative
        
        chest X ray negative
    - - fever
  - - - headache
      - profuse sweating
      - tachycardia
        
        Pheochromocytoma
      - paroxysmal hypertension
      - febrile
    - - 符合
        
        urine test:Epinephrine,Norepinephrine,Dopamine elevated
        
        urine test:Vanillymandelic acid elevated
  - - - symptoms
        
        constipatioin
        
        up body weight
        
        iron deficiency anaemia
        
        pale-looking
        
        fatigue
        
        bradycardia
        
        cold feeling
        
        depression
      - diagnosis
        
        low T4
        
        up TSH
        
        anti TPO
      - complication
        
        iron deficiency anemia
        
        vit.B12 deficiency anemia
        
        folic acid deficiency anemia
      - related disease(antibody)
        
        SLE
        
        Type 1 diabetes
        
        addison disease
        
        rheumatoid arthritis
    - - ventricular hypertrophy
      - myocardium hypertrophy
      - fatigue
      - pale-skin
      - tachycardia
      - palpitation
      - chest pain
      - dizzy
    - - low ferritin
      - low iron
      - normal folic acid
      - normal B12
- - - - substernal chest pain radiating to the back
      - sweating
      - nausea and vomiting
    - - 符合
        
        elvated Troponin I
        
        dilated left ventricular
        
        Non ST elevation
        
        elevated CM-MB
      - 不符合
        
        angiography revealed normal coronary artery
        
        ST depression
- - - - Yes
        
        Grave’s disease
      - No
        
        overreactive thyroid
        
        Toxic multi-nodular goiter
        
        Toxic thyroid adenoma
        
        interrelated
  - - - heart failure
  - - - one side
      - both side