ClinicalmanifestationDCardiovascularsystem:tachycardia,palpitations, HR>100/m, even in restEBMR:increasedsignificantly，wild+20-30%,middle+30-60%,severe>+60%: Othersfatigue,and weight loss,menopause
Clinical manifestation • D Cardiovascular system： tachycardia, palpitations，HR>100/m，even in rest • E BMR ： increased significantly ， wild +20-30%， middle +30-60%， severe >+60% • Others fatigue, and weight loss， menopause
HyperthyroidismLaboratoryexaminationsstandard toconfirm diagnosismeasuring circulating thyroid hormone concentrationtotal thyroxin (TT4)total T, (TT3)free T (FT)free T (FT3)TSH assaylowTSHlevelsshyperthyroidism
Hyperthyroidism standard to confirm diagnosis measuring circulating thyroid hormone concentration total thyroxin (TT4 ) total T3 (TT3 ) free T4 (FT4 ) free T3 (FT3 ) Laboratory examinations TSH assay low TSH levels hyperthyroidism
Hyperthyroidismmeasurement of thyroid uptake of 131]elevatedbasalmetabolicratemayhelpnotroutinelyperformed
Hyperthyroidism measurement of thyroid uptake of 131I elevated basal metabolic rate may help not routinely performed
HyperthyroidismLaboratoryexaminations131I scanningPlummer'sGravesnormal
Hyperthyroidism 131I scanning Laboratory examinations Graves’ Plummer’s normal
HyperthyroidismLaboratory examinationsUs（ultrasound)plus color-dopplermeasurementNormal size of the glandRichdiffuse vascularization of thelobes
Hyperthyroidism Laboratory examinations US（ultrasound） plus color-doppler measurement Normal size of the gland. Rich diffuse vascularization of the lobes