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Lampiran Thyrotoxicosis Index

The Wayne Thyrotoxicosis Index and Newcastle Thyrotoxicosis Index are scoring systems used to assess hyperthyroidism. The Wayne Index lists symptoms and signs and assigns point values, with a score over 20 indicating hyperthyroidism. The Newcastle Index assigns point values to factors like age of onset, psychological precipitants, and pulse rate, with scores of +40 to +80 indicating definite hyperthyroidism and +24 to +39 indicating probable hyperthyroidism. Both indexes provide objective criteria to evaluate hyperthyroidism based on compiling scores from relevant clinical factors.

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151 views2 pages

Lampiran Thyrotoxicosis Index

The Wayne Thyrotoxicosis Index and Newcastle Thyrotoxicosis Index are scoring systems used to assess hyperthyroidism. The Wayne Index lists symptoms and signs and assigns point values, with a score over 20 indicating hyperthyroidism. The Newcastle Index assigns point values to factors like age of onset, psychological precipitants, and pulse rate, with scores of +40 to +80 indicating definite hyperthyroidism and +24 to +39 indicating probable hyperthyroidism. Both indexes provide objective criteria to evaluate hyperthyroidism based on compiling scores from relevant clinical factors.

Uploaded by

putrimeilissa
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Wayne Thyrotoxicosis Index

Symptoms - Dyspnoe deffort +1


- Palpitation* +2
- Tiredness* +2
- Preference for heat -5
- Preference for cold* +5
- Indifference to temperature 0
- Excessive sweating* +3
- Appetite increased* +3
- Appetite decreased* -3
- Weight increased* -3
- Weight decreased* +3
- Nervousness* +3
Signs Present Absent
- Palpable (struma) thyroid* +3 -3
- Bruit over thyroid* +2 -2
- Exopthalmus +2 0
- Lid retraction 0 0
- Lid lag +1 0
- Hyperkinetic movements* +4 -2
- Fine finger tremor +1 0
- Hands hot* +2 -2
- Hands moist* +1 -1
- Pulse: - Atrial fibrilation* +4 0
- Regular
< 80 -3
81-90 0
>90 +3

Hyperthyroid : >20
Probably hyperthyroid : +10 - +20
No hyperthyroid : <10
*) gejala yang banyak didapatkan
Newcastle Thyrotoxicosis Index
Items Grade Score
Age of onset (year) 15 24 0
25 34 +4
35 44 +8
45 54 +12
>55 +16
Psychological precipitant Present -5
Absent =
Present -3
Absent 0
Present -3
Absent 0
Present +5
Absent 0
Present +3
Absent 0
Present +18
Absent 0
Present +9
Absent 0
Present +2
Absent 0
Present +4
Absent 0
Present +7
Absent 0
>90 / min +16
80-90 / min +8
< 80 / min 0

Definite Hyperthyroid : +40 - +80


Probably Hyperthyroid : +24 - +39
No Hyperthyroid : -11 - +23

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