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Thyroid #tipsfornewdoctors – sick euthyroidism
The number of TFTs checked in hospital has ⬆️⬆️⬆️ in recent years.
We are always looking for easily reversible thyroid problems as the cause for symptoms, but how often do we find this?
The number of TFTs checked in hospital has ⬆️⬆️⬆️ in recent years.
We are always looking for easily reversible thyroid problems as the cause for symptoms, but how often do we find this?
In one study, ~15% of inpatients have mildly abnormal TSH but only 1-2% a true underlying thyroid abnormality.
+ many with abnormal TFTs have no follow up of this anyway!
+ many with abnormal TFTs have no follow up of this anyway!
Acutely unwell patients often have abnormal TFTs – said to be a metabolic compensation.
We called this “sick euthyroid syndrome” or “non-thyroidal illness” (NTI).
This is seen with lots of serious illnesses e.g. sepsis, and also with starvation.
We called this “sick euthyroid syndrome” or “non-thyroidal illness” (NTI).
This is seen with lots of serious illnesses e.g. sepsis, and also with starvation.
1/ CXR rounds #16 ⏰:
1. What famous CXR finding is found on these 2 films?
2. What does it mean and what dz is #1 cause?
3. What would you hear w your stethoscope?
#medstudenttwitter #tipsfornewdocs #pulmcc
1. What famous CXR finding is found on these 2 films?
2. What does it mean and what dz is #1 cause?
3. What would you hear w your stethoscope?
#medstudenttwitter #tipsfornewdocs #pulmcc
2/ CXR rounds #16 ⏰:
1. The Double Density sign
2. HUGE left atrium wrapping around behind the right atrium from mitral stenosis as a complication post Rheumatic Fever
3. Decrecendo Crescendo Diastolic Heart murmur
Bonus? What is Rheumatic Fever? 👀 next...
1. The Double Density sign
2. HUGE left atrium wrapping around behind the right atrium from mitral stenosis as a complication post Rheumatic Fever
3. Decrecendo Crescendo Diastolic Heart murmur
Bonus? What is Rheumatic Fever? 👀 next...
3/fin Med Trivia ⏰: RHEUMATIC FEVER 🥵
I’m tired of typing so just read the criteria and look at the rash and memorize the time course. I had a patient with mitral stenosis from rheumatic fever yesterday which prompted this trip trivia!
#tipsfornewdoctors #MedTwitter #MedEd
I’m tired of typing so just read the criteria and look at the rash and memorize the time course. I had a patient with mitral stenosis from rheumatic fever yesterday which prompted this trip trivia!
#tipsfornewdoctors #MedTwitter #MedEd
