David G. Ferriman's A Synopsis of Endocrinology and Metabolism PDF

By David G. Ferriman

ISBN-10: 0723602050

ISBN-13: 9780723602057

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The optimal dosage is unknown, but 1 case has been treated successfully with 10 mg. s. The selection of cases for treatment is difficult. A known high titre of LATS in the mother would be a clear indication. A record of previous neonatal thyrotoxicosis, marked maternal proptosis, or acropachy would be strong pointers. Treatment. — 1. —1-2 mg. s. 2. —25 mg. s. —Has been grave in most reported cases. Prompt recognition and adequate treatment may improve the outlook. — 1. SURGERY best avoided in first and third trimesters.

Orbital decompression rarely needed for threat to vision or ocular integrity. It may be performed through frontal or lateral approaches. Some doubt must be felt about the value of pituitary implants of radioactive gold or yttrium, based as they are upon a belief in the exophthalmos-producing substance of pituitary origin. — 1. Originally appeared after surgery for thyrotoxicosis before the days of antithyroid drugs. 2. Now more usual following other operations, accidents, infection, or emotional disturbance in previously unsuspected or inadequately treated patients.

R. may be raised. 2. Thymol and zinc sulphate turbidity and similar tests often, but not invariably, show abnormally high readings. 3. Serum a-globulin and less frequently y-globulin levels are raised. 4. Thyroglobulin and cytoplasmic antibodies are frequently elevated. 5. Drill or needle biopsy are useful in showing typical pathological changes in suspected cases with euthyroid or hypothyroid nodular goitres. — 1. —Surgery often leads to hypothyroidism. Natural progress of the disease is towards spontaneous relief or even hypothyroidism.

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A Synopsis of Endocrinology and Metabolism by David G. Ferriman


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