内分泌教学课件 01-内分泌总论.pptVIP

* * Suppression tests Evaluated endocrine hyperfunction e.g. dexamethasone suppression test used to evaluate Cushing’s syndrome * Stimulation tests Evaluated endocrine hypofunction e.g. ACTH stimulation test used to assess the adrenal gland response in patients with suspected adrenal insufficiency * Dynamic testing Baseline hormone levels associated with pathologic endocrine conditions to overlap with the normal range Separate the two groups Glucocorticoid (糖皮质激素) hormone * What is the treatment of this patient? * Therapy Antithyroid Drugs Radiation Therapy Surgical Treatment * Therapeutic strategies Hyperfunction Supress the functions of the gland: Chemical therapy, Radiation Therapy, Surgical Treatment Hypofunction hormone replacement and etiology(病因) therapy Hormone Resistance * Summary Master the conception of endocrinology and the regulation of the endocrine system Master the diagnosis and treatment of the common endocrine diseases Be familiar with the classification of endocrine disease Know the progression of endocrinology * 重点问题 名词解释 内分泌系统、激素、激素反馈调节 举例简述内分泌轴的调节机制 举例说明一种内分泌疾病的诊断与鉴别诊断的基本原则 * References 内科学（第8版）：卫生部“十二五”规划教材. 全国高等医药教材建设研究,“十二五”规划教材. 葛均波 徐永健 主编. 人民卫生出版社, 2013. Williams Textbook of Endocrinology (Eleventh Edition).,2011 Harrisons PRINCIPLES OF INTERNAL MEDICINE, Eighteenth Edition. The McGraw-Hill Companies, Inc., 2012 Seidel’s Guide to Physical Examination (Eighth Edition)., 2015 * 欢迎提问、讨论！ * For those with suspected hyperthyroidism (甲亢) or hypothyroidism (甲减) (1) Prior thyroid disease or goiter (甲状腺肿) Cold or heat intolerance Changes in skin texture or hair Frequency of bowel movements Weight change (gain or loss) * For those with suspected hyperthyroidism or hypothyroidism (2) Hoarseness (声音嘶哑) Tremor (震颤), change in eyes, palpitations (心悸), weakness of proximal muscles (近端肌肉). Menses (月经), gynecomastia (男性乳房发育) Recent iodine exposure e.g. intravenous contrast agent（造影剂） * When evaluating for endocrine