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Advantages of surgery Cure of hypothyroidism is rapid the success rate is high order aggrenox caps 200mg with visa, most patient are cured Patient compliance is required for shorter period Disadvantages the patient must be hospitalized discount aggrenox caps online mastercard, and surgical and anesthetic risks are incurred Surgical complications include: hypothyroidism and recurrent laryngeal nerve paralysis Other symp to cheap aggrenox caps 25/200 mg mastercard matic treatments: Propranolol: 80 to 200 mg/day in divided doses every 6 hourly, will reduce symp to ms of tachycardia, palpitations, heat in to lerance, and nervousness but will not normalize the metabolic rate. It should not be used alone except in the case of transient hyperthyroidism secondary to au to immune (viral) thyroiditis. Treatment of other causes of hyperthyroidism 131 Toxic multinodular goiter is treated with surgery or I-. Etiology: Increasing stress such as trauma or illness may cause this in a previously mildly hyperthyroid patient. Signs and symp to ms: Have signs and symp to ms consistent with thyro to xicosis (tachycardia, heat in to lerance, weight loss), as well as fever, confusion, agitation, weakness, dyspnea, diarrhea, and shock. Supportive therapy: Control fever: Fever is controlled with acetaminophen and a cooling blanket. If fever is not controlled within several hours, concurrent infection should be suspected. Other signs of hyperthyroidism may require several days of therapy before improvement is seen. Dexamethasone has some theoretical advantage because it prevents conversion of T4 to T3 peripherally. Hypothyroidism Definition: Primary hypothyroidism: refers to a thyroid hormone deficiency as a result of thyroid gland disease. Etiology: Without thyroid enlargement Hypothyroidism frequently develops following treatment of Graves disease with 131I therapy or thyriodec to my. With thyroid enlargement Chronic thyroiditis /Hashimo to s thyroiditis is one of the most common causes of spontaneous hypothyroidism. Signs and symp to ms: Fatigue, weakness, lethargy, slow movement, cold in to lerance Slight to moderate weight gain, but appetite tends to be diminished Carpal tunnel syndrome, edema of the face and extremities, Hearing loss, hoarseness of the voice Dry skin, hair loss, sparse eyebrows with loss of the lateral half 465 Internal Medicine Pericardial effusion and ascites occasionally occur Constipation Menorrhagia, Memory impairment Psychosis may develop with long-standing hypothyroidism and may be precipitated by thyroid hormone replacement Physical examination Thickened, puffy features is due to accumulation of mucinous mucoplysaccharide-rich material in tissues.
If the red light is employed for to cheap 200 mg aggrenox caps visa o long and frequently buy generic aggrenox caps pills, it may produce dangerous fevers purchase aggrenox caps toronto. The danger can be obviated by using the red light for a few minutes at a time or by placing a wet bandage over the head. Similarly, yellow should not be used when the nerves are very active or irritable. Yellow or orange reddish to nes may prove injurious in fevers, acute inflammations, delirium, diarrhoea, neuralgia, palpitation of the heart and any condition of over excitement. In cases of paralysis, chronic rheumatism, gout, consumption and in all cold, pale and dormant conditions of the system, blue, indigo and violet may prove to o cooling and constricting and should be avoided. It is a periodic rest of the body which is absolutely essential for its efficient functioning. Sleep repairs the wear and tear of the body and mind incurred during waking hours. During sleep most of the functions of the body are carried on at the lowest level possible in health. The mechanism regulating the body temperature are less sensitive than in the waking state and are depressed by 0. The rate of the heart is reduced by 10 to 30 beats per minute and a decline in blood pressure of about 20 mm occurs in quiet restful sleep. The urine volume is considerably reduced, but its concentration in solids is increased. Long periods of wakefulness may cause profound psychological changes such as loss of memory, irritability, hallucination and even schizophrenic manifestations. During the last World War, prisoners in Nazi concentration camps who kept awake for days by strong lights and blaring wireless sets, collapsed.
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