— 生理適應 · EASY · MCQ —
一位葛瑞夫茲氏病(Graves' disease)病患入院,護理師預期會觀察到下列哪項臨床表現?
A client is admitted with symptoms of Graves' disease. Which clinical manifestation should the nurse anticipate?
- AExophthalmos✓ 正解眼球突出
- BWeight gain體重增加
- CCold intolerance畏寒
- DBradycardia心搏過緩
— Explanation · 中文詳解 —
葛瑞夫茲氏病屬於甲狀腺機能亢進。亢進狀態導致代謝加速,呈現心跳過速(Tachycardia)、體重減輕、怕熱等現象。突眼症(Exophthalmos)是葛瑞夫茲氏病特有的自身免疫表現,因眼後組織水腫與浸潤導致眼球突出,此為診斷重要徵象。其他選項均與甲狀腺機能低下相關。
Exophthalmos is a hallmark autoimmune manifestation of Graves' disease, caused by inflammation and swelling of the tissues behind the eyes. Unlike hypothyroidism, which presents with weight gain, cold intolerance, and bradycardia, hyperthyroidism typically causes weight loss, heat intolerance, and tachycardia.
✦ 台美臨床差異
無顯著臨床差異,此為標準醫學定義。