Wednesday, March 20, 2024

LOEVA 38 ENDOCRINOLOGY AND METABOLISM part one

 Thyroid gland:


sometimes the patient suggests he has lost weight, his weight does not remain constant despite not being on a slimming diet or feeling ill or depressed or whatever...

Questions arise from that loss of weight and the doctor asks..

-Do your clothes feel looser? Have you lost weight ?

-Have you a good appetite ?

-Has your appetite increased ?

-Has your appetite remained unchanged ?

Do you have nausea ? (= do you feel like vomiting ?)

Have you diarrhea ?

Are you loosing the same amount of blood during your periods ? or more, or less ?

Do you sleep well ?

Do you have muscle weakness, cramps ?

Do you feel irritable?

Do you get a tremor of the hands ?

Do you complain of intolerance to cold weather ? or to hot weather ?

Do you sweat a lot? or very little ?

Have you ever noticed a lump in your neck ?

Do you ever fell palpitations=Do you feel your heart beat fast and strong ?

How long does the attacks of palpitations last ?

How long have you been complaining of palpitations ?

How often do you get them ?

All these symptoms can be related to dysfunction of the thyroid gland: when the thyroid is hyperactive the patient does not sleep well, he feels warm, complains of intolerance to hot weather, has a tremor of the hands, sweat a lot, feels palpitations, suffer from diarrhea, looses weight;

on the contrary, when the thyroid is hypoactive (hypothyroidism) , the patient suffers from constipation, feels cold, weak, and limp, feels like he has no stamina; he puts weight on.


QUIZ

a People with underactive thyroid puts weight on, feels cold;  people who have a thyroid that is not functioning well, =hypothyroidism, =underactive thyroid; gain weight, feel cold, and sometimes depressed and sluggish (mou; lent)

b Patients who lose weight without any explanation, who feel nervous all the time, eat a lot and feel hungry, are likely suffering from heart problems such as tachycardia or arrhythmia.

c  A patient whose thyroid gland can be checked by the physician because the patient says he feels like there is something wrong with his neck, maybe there is a lump, a tumor....that patient must have echoscan and have his hormons checked as well. 

Because anyone can develop a cyst in their thyroid gland and this cyst can interfere with the functioning of the gland; it can produce thyroid hormones even.

(la grammaire anglaise est ainsi faite que un pluriel suit un singulier: anyone can develop a cyst in their thyroid gland ; est correct et les exemples sont nombreux et quotidiens... 



No comments:

ROB back to Bg

 We left Bg not so long ago and are going to visit again Bg 's Varna, the beach and a few towns: I know of a medical museum the guide bo...