Discover and read the best of Twitter Threads about #hyperthyroidism

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27 yrs old patient, detected to be pregnant when she missed her periods one day back. She has Graves disease on Rx for past 3 years, presently on Carbimazole 5mg daily and not on propranolol. She was euthyroid with Rx for past 1 year. Best strategy ?
Present reports 👇 Image credit: Usatine RP, S...
A. Stop carbimazole and monitor by weekly/fortnightly TSH, FT4 levels and follow up.

B. Switch to PTU 50mg bd and do FT4, TSH after 2 weeks and review

C. Switch to PTU 50 mg bd + LT4 50mcg OD. TSH, FT4- 4wkly

D. PTU 50mg BD and Propranolol XL 20mg , Monthly TSH,FT4-followup
Read 21 tweets
Examining pulse of a patient with “MOTOR NEURON DISEASE” helped me find a cure
1.Motor neuron disease (MND) or amyotrophic lateral sclerosis (ALS), is a progressive neurological disease causing severe weakness and wasting of muscles. It has no cure and results in death in most.
2. A 50-year old man consulted me 6 months ago for a second opinion. He had complaints of difficulty in swallowing, slurred speech, weakness and wasting of muscles of arms and legs, which had progressed over previous 9 months.
#MedTwitter #neurotwitter #ALS #MND
3. He was seen by neurologist and after needle electromyography; diagnosis of ALS was made. In view of grave prognosis, patient wished for second opinion. On examination, he had muscle fasciculation, wasting of tongue, arms and leg muscles. Deep tendon reflexes were exaggerated.
Read 7 tweets
Thank you to everyone who came to our INTERFACE: Science + Art + Health event last week. We are pleased to share our virtual #ArtExhibition & the video recordings of the talks given by our artist & researcher duos! Visit our @Artsteps_ #ArtGallery now: cutt.ly/smqbexhibition 1/6
Video 1 features @SMQB_UoB Research Fellow Dr Leandro Junges & #LivedExperience artist @MellEJFisher talking about their joint art project which explores #Papilledema #Papilloedema #IdiopathicIntracranialHypertension @DrMollan @IIHUK @IIHDrBirmingham 2/6
In Video 2 @SMQB_UoB Research Fellow Danny Galvis & #Composer Pietro Bardini explore recovery response following #CardiacSurgery through a multi-channel #Soundpiece that mimics the interaction model between hormones & inflammatory mediators @ederzavala 3/6
Read 7 tweets

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