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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 17. Endocrine Emergencies > |
Chapter 223. Thyroid Disorders: Hypothyroidism and Myxedema Crisis
Sections: Epidemiology, Clinical Features of Hypothyroidism, Clinical Features of Myxedema Coma, Laboratory Evaluation, Treatment, Disposition and Follow-Up, Special Populations, Acknowledgment, References.
Topics Discussed: hypothyroidism; myxedema; myxedema coma; thyroid disorders.
Excerpt:"Hypothyroidism is a condition of insufficient thyroid hormone
production that causes slowed metabolism. Table
223-1 lists common causes of hypothyroidism. Hypothyroidism
is particularly common in areas of iodine deficiency, particularly
inland areas where there is no access to marine foods. In iodine-sufficient
areas, chronic autoimmune (Hashimoto) thyroiditis is the leading
cause of primary hypothyroidism. Hypothyroidism
has also been estimated to occur in 1% to 32% of
patients taking amiodarone.2 Individuals who have
thyroid peroxidase antibodies and those who have thyroid-stimulating
hormone (TSH) values that are in the upper normal range are at increased
risk for developing hypothyroidism...."
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