RAMADAS RAMKUMAR
@RAMADASRAMKUMAR
MBBS, DRM, FCD, FACE(USA), Dip(Diab), Dip(Obesity), Phd(Diab). THYROIDOLOGIST & DIABETOLOGIST
@diabetesdiplomapt with undectectable plasma renin activity, when24hr urinary Na+ is >200mEq& aldosterone >12 confirms primary Aldosteronism
@diabetesdiplomaVitD has an antitumour effect with decrse proliferation, incrse differentiation of cells &incse apoptosis of malignant cells
@diabetesdiplom >10 cigarettes/day increase the CHD odds ratio by 6.7 fold while stopping smoking reduces the risk of MI by 50-70% witin 5yr
@diabetesdiplomadiabetic complications are known to worsen during pregnancy screng for nephropathy and retinopathy is advsd in each trimestr
@diabetesdiplomaLaproscpic ovarian drillg by laser or diathermy on surface of ovaries used in female withPCOS failed to conceiveon clomifene
@diabetesdiplomaLiraglutide - similar to GLP1,stimulates insulin secretion, suppresses glucagon, delays gastric emptying, decreases appetite
@diabetesdiplomaPCOS accounts for 75% of cases of anovulatory infertility, the risk of spontaneous miscarriage is high in general population
@diabetesdiplomaThe patients with PCOis a predisposing factor for diabetes,life style modification alone can play a major role in prevention
Screening for Thyroid disease - Atrial fibrillation or hyperlipidaemia, patients undergoing amiodarone & lithium @diabetesdiploma
General measures of Grave's ophthalmopathy is to stop smoking, dark glasses with eye protection & to control thyroid function
Radioisotopescan-Tc99m-advantage is max thyroid uptake within 30min of admin, can be used in breast-feeding women(discontinue feedd for 24hr
THYROID CRISIS(STORM) - It represents a rare but life threatening exacerbation of the manifestations of thyrotoxicosis.
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