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Is it focal or diffuse? Focal masses in the thyroid include thyroglossal cyst, toxic adenoma, colloid cyst, Riedel's struma, nontoxic adenoma, and malignancies.
Is there movement with protrusion of the tongue? This is a ... DIAGNOSTIC WORKUP
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What is the blood glucose and serum acetone level? If these are increased, consider diabetic acidosis. If these are normal, consider other causes of acidosis.
What is the bicarbonate level? An increased ... DIAGNOSTIC WORKUP
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Decreased breath sounds represent either decreased flow of air through the airway or decreased transmission of sound across the chest wall. Lung pathology is a common etiology; however, physical causes such as obesity can be a less obvious etiology. A... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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A perceived or observed decrease in the strength or flow of one's urine stream is a common complaint. This is often of concern to the patient because of the concern about both a serious medical problem and the slowing of urination and associated dribbling or incomplete emptying... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Nurses frequently become distressed and summon the intern during the night about these signs. Cheyne–Stokes respirations are a frequent source of bewilderment because they may occur at times with no direct evidence of damage to the nervous
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... Developing a list of possible causes of acidosis is also best approached by using the physiologic model of production, transport, excretion, or degradation.
ACIDOSIS (DECREASED PH)
Production
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Primary Hypothyroidism
Addison's disease (reversible hypothyroidism)
Addition of other drugs to levothyroxine therapy
Aluminum hydroxide–containing antacids
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... Hypothyroidism, a state of low serum thyroid hormone, results from hypothalamic, pituitary, or thyroid insufficiency. The disorder can progress to life-threatening myxedema coma.
Causes and incidence
Hypothyroidism results from... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Deficiency of thyroid hormone secretion during fetal development or early infancy results in infantile cretinism (congenital hypothyroidism). Untreated hypothyroidism is characterized in infants by respiratory difficulties, persistent jaundice,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone thyroxine. If no infection is present,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Stephen F. Wheeler and David E. Bybee
Hypothyroidism is the clinical syndrome resulting from deficient thyroid hormone action. Overt hypothyroidism is found in 2% of women aged more than 70 years and in 0.5% of women aged 40 to 60 years. Hypothyroidism is... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment
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... Stephen F. Wheeler and David E. Bybee
Goiter, an enlarged thyroid gland, is the most common thyroid abnormality. Goiter is termed endemic if it occurs in more than 10% of a population. Endemic goiter most commonly results from dietary iodine... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor
❑ Laryngeal cancer
❑ ... Diagnostic Approach ... Clinical Findings
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... Hypothyroidism, a state of low serum thyroid hormone, results from hypothalamic, pituitary, or thyroid insufficiency. The disorder can progress to life-threatening myxedema coma. Hypothyroidism is more prevalent in women than in men; in the United States,... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Deficiency of thyroid hormone secretion during fetal development and early in infancy results in infantile cretinism (congenital hypothyroidism). Untreated hypothyroidism is characterized in infants by respiratory difficulties, persistent jaundice, and... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the hormone thyroxine. If no infection is... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or deficiency, respectively, of the... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Nurses frequently become distressed and summon the intern during the
night about these signs. Cheyne–Stokes respirations are a frequent source
of bewilderment because they may occur at times with no direct evidence of
damage to... Pictures
... READ EXCERPTS »
...
Developing a list of possible causes of acidosis is also best
approached by using the physiologic model of production, transport,
excretion, or degradation.
Production Pictures
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... Phillip Spandorfer
Approach to the Patient with Decreased Activity Level
I. Definition of the Complaint
The term decreased activity ... Pictures
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... I. History of Present Illness
A 15-year-old girl presented to the emergency department with a 3-month history
of increasing fatigue. She had gradually stopped participating in sports
because of dizziness and palpitations. Her decreased level of ... Pictures
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... I. History of Present Illness
A 16-day-old male infant presented to the emergency department with a 24-hour
history of decreased level of activity. Breast-feeding had not been going well
since birth, but he had
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... I. History of Present Illness
A 3-month-old female infant presented to the emergency department with a 1-week
history of increasing fussiness. Three days before admission, the infant
developed poor breast-feeding
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... I. History of Present Illness
An 11-month old boy was brought to the emergency department because of decreased
activity level. He had had a 3-day illness consisting of fever to 39
°C and diarrhea. He had had approximately four episodes of ... Pictures
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... I. History of Present Illness
A 9-year-old boy developed emesis about 5:00 p.m. one evening and afterward went
to sleep. A few hours later, the parents had a difficult time arousing him, and
... Pictures
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... I. History of Present Illness
A 20-month-old boy was brought to the emergency department with decreased
activity level. He had been vomiting for the previous 3 days and had had two or
three ... Pictures
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... Adda Grimberg, MD Acquired Hypothyroidism - BASICS Acquired Hypothyroidism - description Hypothyroidism that occurs after the neonatal period Acquired Hypothyroidism - epidemiology Acquired Hypothyroidism - incidence ... Acquired Hypothyroidism - DIAGNOSIS ... Acquired Hypothyroidism - TREATMENT ... Acquired Hypothyroidism - FOLLOW UP ... Acquired Hypothyroidism - bibliography ... Acquired Hypothyroidism - CODES ... Acquired Hypothyroidism - FAQ
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While training for the Olympic games, track star Gail Devers began to suffer from a number of mysterious symptoms: weight loss, dry skin and fatigue....
Hyperthyroidism is a serious hormonal imbalance that can lead to weight loss, anxiety, diarrhea and other symptoms. Treatments are available, and in...
The connection between osteoporosis and low levels of calcium in the body is fairly well known by doctors and patients alike. But there are a number...