My iz♡
My iz♡
in General
Pituitary Hyperplasia from Primary Hypothyroidism
Pituitary Hyperplasia from Primary Hypothyroidism
A 10-year-old girl presented to the pediatric clinic with headache and poor growth. On examination, her height was below the third percentile and her weight was at the tenth percentile. She had dry skin; testing showed no visual-field deficits. Laboratory studies showed a thyrotropin level of more than 150 μU per milliliter (normal range, 0.5 to 4.9), a free thyroxine level of 0.4 ng per deciliter (5.1 pmol per liter) (normal range, 0.8 to 1.4 ng per deciliter [10.3 to 18.0 pmol per liter]), and a prolactin level of 63 ng per milliliter (normal range, 3 to 28). The results of additional testing, which included the evaluation of levels of morning cortisol, gonadotropins, and insulin-like growth factor 1, were normal. Magnetic resonance imaging (MRI) of the head revealed a diffusely enhancing lesion in the sellar region extending to the optic chiasm (Panel A, arrow). A diagnosis of primary hypothyroidism with secondary pituitary hyperplasia was made, and the patient began receiving levothyroxine. Long-standing untreated primary hypothyroidism can cause pituitary hyperplasia owing to hormonal-feedback mechanisms through the hypothalamic–pituitary–thyroid axis. At 10 months of follow-up, the patient’s headaches had resolved, the thyrotropin level had normalized, and the patient had grown 6 cm in height. Repeated MRI of the head showed resolution of the pituitary enlargement (Panel B).
Makuo chukwu
Makuo chukwu
in Learning Materials
Miscarriage
Miscarriage
A miscarriage is the spontaneous loss of a pregnancy from conception to 20 weeks' gestation. The term stillbirth refers to the death of a fetus after 20 weeks gestation. Miscarriage is very common. As many or even most miscarriages occur so early in pregnancy that a woman does not even realize that she is pregnant, it is difficult to estimate how frequently miscarriages occur. Some experts believe that about half of all fertilized eggs die before implantation or are miscarried. Of known pregnancies (in which a woman misses a period or has a positive pregnancy test), about 10% to 20% end in miscarriage. Risk factors for miscarriage include an older parent, previous miscarriage, exposure to tobacco smoke, obesity, diabetes, thyroid problems, and drug or alcohol use. About 80% of miscarriages occur in the first 12 weeks of pregnancy (the first trimester). The underlying cause in about half of cases involves chromosomal abnormalities.
Omar Kabrit
Omar Kabrit
in Learning Materials
Can someone help me to identify this kind of surgery?
What kind of nail is this?
What kind of nail is this?
Shoulder surgery
Ioana 1412
Ioana 1412
in Learning Materials
Tourette syndrome
Tourette syndrome
Tourette syndrome (TS or simply Tourette's) is a common neurodevelopmental disorder with onset in childhood, characterized by multiple motor tics and at least one vocal (phonic) tic. These tics characteristically wax and wane, can be suppressed temporarily, and are typically preceded by an unwanted urge or sensation in the affected muscles. Some common tics are eye blinking, coughing, throat clearing, sniffing, and facial movements. Tourette's does not adversely affect intelligence or life expectancy.
Dr.hz
Dr.hz
in Articles
Source
Schizophrenia
Schizophrenia
Tasa
Tasa
in Learning Materials
Hope it helps a litle!
When you see somthing, pracrical is more better than sadying withouth pictures.
When you see somthing, pracrical is more better than sadying withouth pictures.
Arteriae, nervi, venae -collum s. Cervics
Ioana 1412
Ioana 1412
in General
Let's diagnose this! ☇
Let's diagnose this! ☇
Dr. Narmina Ismayilova
Dr. Narmina Ismayilova
in Case Study
82 years old male patient's urine specimen was inoculated to EMB agar. After 24 hours incubation was developed pink, capsulated colonies of Pseudomonas aeruginosa.
82 years old male patient's urine specimen was inoculated to EMB agar. After 24 hours incubation was developed pink, capsulated colonies of Pseudomonas aeruginosa.
Dr.hz
Dr.hz
in General
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism is a blockage in one of the pulmonary arteries in your lungs. In most cases, pulmonary embolism is caused by blood clots that travel to the lungs from the legs or, rarely, other parts of the body (deep vein thrombosis). Because the clots block blood flow to the lungs, pulmonary embolism can be life-threatening. However, prompt treatment greatly reduces the risk of death. Taking measures to prevent blood clots in your legs will help protect you against pulmonary embolism.
Stdmell
Stdmell
in Discussion | a day ago
Anas Abubakar
Anas Abubakar
in General
Please diagnosis and treatment
Please diagnosis and treatment
Please diagnosis and treatment
Andy Wells
Andy Wells
in Case Study
Mechanical asphyxia!!
Mechanical asphyxia!!
This patient died to an orange slice, which is seen lodged in the trachea. 🍊 Death by accidental mechanical asphyxia in adults is infrequent and usually results from chocking/aspiration, entrapment, ligature strangulation by clothes catching in machinery (especially as occupational deaths) and, more frequently, sexual asphyxia. Choking is an example of mechanical asphyxia and it involves the blockage of internal airways (posterior pharynx, larynx, trachea, and/or bronchi) by a foreign object. example to that is a toy balloon lodged in child's airway, food bolus impacted at epiglottis, or well, a huge orange slice.
Jonathan
Jonathan
in Learning Materials
What happens when you have a concussion? - Clifford Robbins
Each year in the United States, players of sports and recreational activities receive between 2.5 and 4 million concussions. How dangerous are all those concussions? The answer is complicated and lies in how the brain responds when something strikes it. Clifford Robbins explains the science behind concussions. Lesson by Clifford Robbins, directed by Boniato Studio.
KSimpson2452
KSimpson2452
in Discussion | 18 hours ago
Microbiology
Any websites or study tips for nurses taking Microbiology ?
My iz♡
My iz♡
in General
Coronary-Artery Occlusion from Kawasaki’s Disease
Coronary-Artery Occlusion from Kawasaki’s Disease
An 18-year-old man presented to the emergency department with chest pain. He had a history of Kawasaki’s disease, which had been diagnosed when he was 11 years of age. Despite treatment with intravenous immune globulin, coronary-artery aneurysms were detected on imaging (Panel A shows a coronary angiogram obtained 3 years before the current presentation). At the time of the current presentation, his medications included aspirin and warfarin. An electrocardiogram showed ST-segment elevations in leads V1 to V3. Emergency coronary angiography revealed occlusion of the left anterior descending artery (Panel B). Kawasaki’s disease is an acute, idiopathic, self-limiting vasculitis that primarily affects children. Clinical features include fever, nonexudative conjunctivitis in both eyes, mucositis, cervical lymphadenopathy, polymorphous rash, and changes in the hands and feet. Because not all these features are necessarily present and there is no specific diagnostic test for Kawasaki’s disease, the diagnosis may be missed in childhood or occur at such an early age that the adult patient has no recollection of illness. Affected children are at risk for cardiovascular complications. The patient underwent coronary-artery bypass surgery. At follow-up 3 years after presentation, he was doing well and had no further cardiac symptoms.
Coffeerelated
Coffeerelated
in Learning Materials
Facial palsy-peripheral vs central
Facial palsy-peripheral vs central
With the mention that any lesion at the level of the nucleus will also give a peripheral palsy.
Dr.hz
Dr.hz
in General
Cri du chat syndrome
Cri du chat syndrome
Cri du chat syndrome, also known as chromosome 5p deletion syndrome, 5p− syndrome (pronounced "five P minus") or Lejeune's syndrome, is a rare genetic disorder due to chromosome deletion on chromosome 5. Its name is a French term ("cat-cry" or "call of the cat") referring to the characteristic cat-like cry of affected children.
Jonathan
Jonathan
in Learning Materials
Osteoporosis
This 3D medical animation shows a basic overview of bone tissue anatomy, including blood forming stem cells, and bone cells (osteoblasts and osteoclasts). Also its causes, how it makes bones prone to fractures, treatment and prevention.
Maya Dagher
Maya Dagher
in General
Systemic lupus erythemaosus
Systemic lupus erythemaosus
Systemic lupus erythematosus (SLE), also known simply as lupus, is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts of the body. Symptoms vary between people and may be mild to severe.Common symptoms include painful and swollen joints, fever, chest pain, hair loss, mouth ulcers, swollen lymph nodes, feeling tired, and a red rash which is most commonly on the face.Often there are periods of illness, called flares, and periods of remission during which there are few symptoms. The cause of SLE is not clear.It is thought to involve genetics together with environmental factors,female sex hormones, sunlight, smoking, vitamin D deficiency, and certain infections
Neema Putri
Neema Putri
in Discussion | 19 hours ago
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