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06 Feb 2018

Top informations about Testosterone Emedicine

Drugs that may interrupt testicular function - Including agents that interfere with Testosterone synthesis, such as spironolactone and cyproterone. Agents such as cortisol, marijuana, heroin, and methadone may interfere with gonadotropin secretio..., For males after puberty, the Guidelines of the Endocrine Society [ 2 ] require that the diagnosis of hypogonadism be based on symptoms and signs of hypogonadism plus the presence of a low Testosterone level measured on at least 2 occasions....In either case, affected individuals have normal testes with normal production of Testosterone and normal conversion to dihydrotestosterone (DHT). Because the testes produce normal amounts of mllerian-inhibiting factor (MIF), also known as mllerian-inhibiting..., Tordjman KM, Yaron M, Berkovitz A, Botchan A, Sultan C, Lumbroso S. Fertility after high-dose Testosterone and intracytoplasmic sperm injection in a patient with androgen insensitivity syndrome with a previously unreported androgen receptor mutation....


06 Feb 2018

Top informations about Paediatric Dka

Diabetic ketoacidosis (DKA) is a complex metabolic state of hyperglycemia, ketosis, and acidosis. [ 1 , 2 ] Diabetic ketoacidosis results from untreated absolute or relative deficiency of insulin in type 1 or type 2 diabetes mellitus , respectively...., Ketosis and lactic acidosis produce a metabolic acidosis; however, supplemental bicarbonate is not recommended. Acidosis usually resolves with isotonic fluid volume replenishment and insulin therapy. [ 3 ] A pediatric trial of bicarbonate in severe metabolic...Simon Steel, Shane M. Tibby; Paediatric diabetic ketoacidosis, Continuing Education in Anaesthesia Critical Care & Pain, Volume 9, Issue 6, 1 December 2009, Pages 194199, https://doi.org/10.1093/bjaceaccp/mkp034..., Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in children with diabetes. Cerebral oedema is the most common cause of death and a high index of suspicion is always required....


06 Feb 2018

Top informations about What Is Fat Embolism Syndrome

For those who manage major trauma victims, the topic of Fat Embolism weighs heavily on the mind. The incidence of this problem can approach 90% in patients who have sustained major injuries. If it progresses to the rare clinical entity known as Fat embolism..., Ernst Von Bergmann, in 1873, was the first person credited with making a clinical diagnosis of Fat embolism. He did this on the basis of knowledge gathered from experiments with cats 10 years previously, in which he injected them with intravenous oils....This Is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work Is properly cited...., Fat emboli occur in all patients with long-bone fractures, but only few patients develop systemic dysfunction, particularly the triad of skin, brain, and lung dysfunction known as the Fat Embolism Syndrome (FES). Here we review the FES literature under...


06 Feb 2018

Top informations about Left Median Neuropathy

Carpal tunnel syndrome (CTS) is the most common focal peripheral neuropathy. CTS is caused by entrapment of the Median nerve at the wrist as it traverses through the carpal tunnel...., Acute CTS is a rare compartment syndrome of the carpal tunnel that occurs after major trauma, typically distal radius fracture. Diagnosis is based on clinical history and examination and does not require electrophysiological testing to proceed with surgery...Other complications include increased Median nerve deficit, local infection, and reflex sympathetic dystrophy. A study comparing daily application of lidocaine 2.5% plus prilocaine 2.5% (EMLA) with a single injection of methylprednisolone acetate found..., The endoscopic technique has a slightly higher risk of injury to the Median nerve. In some reports, patients with endoscopic surgery experience less pain and have earlier return to work and daily activities. [ 50 ]...


06 Feb 2018

Top informations about Isolated Pulmonary Stenosis

Pulmonic valvular Stenosis (PVS) is described as lesions that collectively are associated with obstruction to the right ventricular outflow tract. Stenosis may be valvular, subvalvular, or supravalvular. Isolated Pulmonary Stenosis is considered to be..., Pulmonic valvular disease is clinically detected at different stages of life. The more severe the obstruction, the earlier the valvular abnormality is typically detected. Pulmonic valvular Stenosis is most often associated with the failure of the valvular...Diseases of the Pulmonary valve are most often congenital, and only rarely do acquired disorders such as carcinoid and rheumatic fever affect the Pulmonary valve. [ 1 ] The Pulmonary valve may be stenotic or atretic, or the leaflets of the valve may be..., A stenotic Pulmonary valve usually occurs without associated congenital abnormalities, although it may be associated with other structural abnormalities of the heart. To distinguish the former from the latter, terms such as Pulmonary Stenosis with a normal...