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INDEX WAYNE Tanggal Simptoms Dyspneu deffort Palpitasi Fatigue Suka udara panas Suka udara dingin Over sweating Gugup Appetite Appetite BB BB Sign Palpable tiroid Bruit Exophthalmus (Eye) lid lag Hiperkinetic (gelisah) Fine finger tremor Tangan hangat Tangan basah Atrium fibrilasi Nadi < 80 x/menit Nadi 80-90 x/menit Nadi > 90 x/menit JUMLAH
Lk/Pr
MR : Ruangan :
INTERPRETASI Indeks Wayne: Eutiroid 11 Equivocal = 11 -18 Hipertiroid > 18 Indeks New Castle : Eutiroid : 11 -23 Equivocal : 24 39 Hipertiroid : 40 80 T3 : nmol/L T4 : ng/dl FT3 : Ft4 : TSH : Up take : - 2 jam : - 24 jam : USG Tiroid : Scanning Tiroid :
1 2 2 -5 5 3 2 3 -3 -3 -3 + 3 2 2 1 4 1 2 1 4 0 0 3 -3 -2 0 0 -2 0 -2 -1 0 3 0 0
INDEX NEW CASTLE Usia saat mulai Psycological precipitate Frequent checking Severe anticip. Anxiety Appetite Palpable Tiroid
Bruit Exophthalmus Lid retraction Hiperkinetic Fine finger tremor Heart rate JUMLAH
18 19 9 4 4
EKG