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Low Thyroid - Could It Be A T3 Problem?
Low Thyroid - Could It Be A T3 Problem? samer kareem 5,778 Views • 2 years ago

NTIS refers to a syndrome found in seriously ill or starving patients with low fT3, usually elevated RT3, normal or low TSH, and if prolonged, low fT4. It is found in a high proportion of patients in the ICU setting, and correlates with a poor prognosis if TT4 is <4ug/dl. The patho-physiology includes suppression of TRH release, reducedT3 and T4 turnover, reduction in liver generation of T3, increased formation of RT3, and tissue specific down-regulation of deiodinases, transporters, and TH receptors. Although long debated, tissue TH levels are definitely reduced, and tissue hypothyroidism is presumably present. This is often not clinically evident because of the brief duration, and reduced but not absent tissue levels of TH. Although recognized for nearly 4 decades, interpretation of the syndrome is contested, because of lack of data. Some observes, totally without data, argue that it is a protective response and should not be treated. Other observers (as in this review) present available data suggesting, but not proving, that thyroid hormone replacement is appropriate, not harmful, and may be beneficial. The best form of treatment (TRH,TSH,or T3+T4) and possible accompanying treatments (GHRH, Cortisol, nutrition, insulin) lack consensus. In this review current data are laid out for reader’s review and judgment.

Direct Laryngoscopy: MICU Fellows Airway Course
Direct Laryngoscopy: MICU Fellows Airway Course samer kareem 23,357 Views • 2 years ago

Direct Laryngoscopy: MICU Fellows Airway Course

How to Reverse GERD and Leaky Gut
How to Reverse GERD and Leaky Gut samer kareem 4,666 Views • 2 years ago

How to Reverse GERD and Leaky Gut

Heparin Induced Thrombocytopenia (HIT)
Heparin Induced Thrombocytopenia (HIT) samer kareem 9,360 Views • 2 years ago

All forms of heparin (including low-molecular-weight heparin such as enoxaparin) must be stopped immediately in patients with suspected heparin-induced thrombocytopenia (HIT) while awaiting diagnostic confirmation. Patients with HIT remain at high risk of thrombosis even after discontinuation of heparin. Therefore, an alternate, rapidly acting, non-heparin anticoagulant such as direct thrombin inhibitor (eg, argatroban, bivalirudin) must be started immediately.

Candida endophthalmitis
Candida endophthalmitis samer kareem 1,865 Views • 2 years ago

Patients with candida endophthalmitis who have chorioretinitis with vitreal involvement should be treated with vitrectomy and systemic antifungal therapy with amphotericin B (Choice B) and/or fluconazole. An early vitrectomy improves the likelihood of a positive outcome, and intravitreal injection of amphotericin B may be of help. Prompt diagnosis and treatment of candida endophthalmitis is essential, as the condition can worsen quickly.

Allergic Bronchopulmonary Aspergillosis
Allergic Bronchopulmonary Aspergillosis samer kareem 4,453 Views • 2 years ago

Allergic bronchopulmonary aspergillosis (ABPA) is a condition characterised by an exaggerated response of the immune system (a hypersensitivity response) to the fungus Aspergillus (most commonly Aspergillus fumigatus). It occurs most often in patients with asthma or cystic fibrosis.

Henoch--Schönlein Purpura
Henoch--Schönlein Purpura samer kareem 22,473 Views • 2 years ago

An antecedent upper respiratory infection is present in 50% of patients. Abdominal pain is a presenting symptom in 1 0-15% of patients. The skin lesions are symmetric, involve dependent parts of the body, and classically progress from an erythematous, macular rash to papular purpura. The joints and kidneys are also commonly involved

Acute Intermittent Porphyria
Acute Intermittent Porphyria samer kareem 10,116 Views • 2 years ago

Acute intermittent porphyria (AIP) is a rare autosomal dominant metabolic disorder affecting the production of heme, the oxygen-binding prosthetic group of hemoglobin. It is characterized by a deficiency of the enzyme porphobilinogen deaminase.

Addiction to Drug
Addiction to Drug samer kareem 6,701 Views • 2 years ago

What causes addiction? Easy, right? Drugs cause addiction. But maybe it is not that simple.

Tibial Nail EX Surgical Technique
Tibial Nail EX Surgical Technique samer kareem 4,745 Views • 2 years ago

fixation of a tibial fracture utilizing the Titanium Cannulated Tibial Nail

Kegel Exercise Instruction
Kegel Exercise Instruction samer kareem 3,349 Views • 2 years ago

Instructions for use of FPT kegel exerciser. Kegels work! But kegels performed with progressive resistive weight training work better and faster.

Hand Anatomy
Hand Anatomy samer kareem 9,958 Views • 2 years ago

Hand Anatomy

Atrioventricular Septal Defect - AV Canal
Atrioventricular Septal Defect - AV Canal samer kareem 9,619 Views • 2 years ago

An atrioventricular septal defect (AVSD) is a heart defect in which there are holes between the chambers of the right and left sides of the heart, and the valves that control the flow of blood between these chambers may not be formed correctly. This condition is also called atrioventricular canal (AV canal) defect or endocardial cushion defect. In AVSD, blood flows where it normally should not go. The blood may also have a lower than normal amount of oxygen, and extra blood can flow to the lungs. This extra blood being pumped into the lungs forces the heart and lungs to work hard and may lead to

Orthodontic Device
Orthodontic Device samer kareem 19,006 Views • 2 years ago

Forsus is an orthodontic appliance which is used to correct overjet or Class II dental malocclusion.

Inserting the Enlite Sensor with insulin pump
Inserting the Enlite Sensor with insulin pump samer kareem 2,874 Views • 2 years ago

Inserting the Enlite Sensor with insulin pump

Pill/Emergency Contraception Work
Pill/Emergency Contraception Work samer kareem 5,523 Views • 2 years ago

Emergency Contraception is a way to prevent pregnancy AFTER unprotected sex. Lots of people have questions about it: What does the morning after pill do? How does emergency contraception work to prevent pregnancy? What are the different types of emergency contraception? This video answers these questions and more.

Microsoft HoloLens.
Microsoft HoloLens. samer kareem 10,633 Views • 2 years ago

Microsoft HoloLens. Medical Education

The Color of the BLOOD of YOUR PERIOD
The Color of the BLOOD of YOUR PERIOD samer kareem 15,010 Views • 2 years ago

❀ The Color of the BLOOD of YOUR PERIOD Reveals Something VERY IMPORTANT about Your Health!

Fetal Changes in 30th Week Pregnancy
Fetal Changes in 30th Week Pregnancy samer kareem 14,771 Views • 2 years ago

During this week your baby's brain form channels and creases with the help of more tissues with greater surface area. Check out this video for detail information on 30 weeks pregnant -

Who are Doctors?
Who are Doctors? samer kareem 11,357 Views • 2 years ago

#STOP VIOLENCE AGAINST DOCTORS#SAVE THE DOCTOR

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