The Abs Diet - The 6-week Plan to Flatten Your Stomach and

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If you require immediate care, please call 911 or visit the Emergency Room. Internal Medicine - Physician Assistant Sayre, PA, USA Internal Medicine - Physician Assistant. The parathyroid hormone-related protein (PTHrP) was discovered by Dr. Tsao is a Clinical Professor of Medicine at USC Medical School. During the first year, the great majority of the time is spent in clinical activities either in the outpatient or inpatient setting. Adrenal tumorsObesity, alcoholism, depression can mimic Cuc=shings, slightly increase 24-hr urine cortisol- "pseudo-cushings" Looks at function of the glandThyroid scan looks at size, shape, activity of the gland, looks at hot/ cold nodulesIncreased with: Graves disease, TSH secreting pituitary tumor, hot nodules (solitary adenoma, toxic MNG), HCG secreting tumor, Iodine deficiencyDecrease with: thyroiditis, excess exogenous T3/T4, iodine excess (contrast dye, diet, amiodarone) Most common functional tumors; usually microadenomas, can be space occupying lesionsElevated PRL->decreased release of GnRH->decreased LH/FSH-> decreased libido, ED in men, amennorhea and hirsutism in females; Increased size=increased PRL, so if > 1cm and PRL<100, it's not a prolactinomaMen present later->only decreased libido, so present as space occupying lesion (visual field defects)Can cause galactorrhea in women, decreased bone mineralization insulin resistance (DM); PCOS, Cushing's, niacin, corticosteroids, acromegalyIf rapid onset in elderly, think GI malignancy Granulomatous dz- increase Vit D production- sarcoidosis, TB, berylliosis, histoplasmosis, leprosyImmobility - increase if other cause of high bone turnover- hyperthyroid, pagets, adolescence - decreased iPTH Near-total thyroidectomyIf incomplete resection, do radiation ablationAllow TSH to rise post-op; will do radioactive iodine after it reaches 30 to kill remaining cellsStart thyroxine several days after ablationGoal, keep TSH suppressed to lower limit of nl

Pages: 0

Publisher: Rodale Inc (2005)

ISBN: B000ZBGHP6

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