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This book describes Myxedema, Diagnosis and Treatment and Related Diseases
The thyroid is the gland in the center of the neck
When a person is tired and fat, it is usually thyroid hormones she lack
She will feel cold and has a large protuberant tongue
There will slow movements and thoughts out front
There will also be enlargement of the thyroid gland
There will dry coarse skin and unusual weight gain
The most common cause is due to old age
Other include radioactive iodine taken in excess dosage
Some are due to excess removal of thyroid during surgical action
Or
…mehr

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Produktbeschreibung
This book describes Myxedema, Diagnosis and Treatment and Related Diseases

The thyroid is the gland in the center of the neck
When a person is tired and fat, it is usually thyroid hormones she lack
She will feel cold and has a large protuberant tongue
There will slow movements and thoughts out front

There will also be enlargement of the thyroid gland
There will dry coarse skin and unusual weight gain
The most common cause is due to old age
Other include radioactive iodine taken in excess dosage

Some are due to excess removal of thyroid during surgical action
Or autoimmune response to thyroid inflammation
Treatment is usually with synthetic thyroxine
To be taken orally for life. No need for iodine.

-An original poem by Kenneth Kee

Hypothyroidism is also more common in women than in men.
Most of the cases of Hypothyroidism seen at the clinic are secondary Hypothyroidism due to lack of thyroid hormones either they were too aggressively treated for Hyperthyroidism or sometimes due to loss of thyroid hormones as part of aging.

The treatment for Hypothyroidism is thyroxine tablets of 50 to 100 mcg daily for life.
Most of the patients have no symptoms.
Hypothyroidism cases are more common than hyper thyroid cases.

Myxedema is a medical disorder marked by thickening and swelling of the skin caused by advanced hypothyroidism (insufficient thyroid hormone production) or deficiency of thyroxine.

Myxedema is different from hypothyroidism which denotes the presence of low level of thyroid hormones only.

Myxedema indicates the presence of edema of the skin and soft tissue caused by hypothyroidism.

Myxedema coma is a misnomer.

The patients with myxedema coma have no classical non-pitting edema or are not in a coma.

Myxedema is produced by severe hypothyroidism (under active thyroid) and happens more often when hypothyroidism is left untreated.

The doctor can order simple blood tests to determine whether the patient have hypothyroidism, which can result in myxedema.

Depending on the underlying cause, myxedema can be treated with thyroid replacement hormones.

These medicines are successful in removing the symptoms present in myxedema and hypothyroidism.

If the patient is given thyroid replacement medicines, the patient will probably need to take them for the rest of the life.

Left untreated, myxedema can develop dangerous or life-threatening complications.

Myxedema is almost always a consequence of hypothyroidism.

Primary causes:
Congenital:
a. Aplasia (no thyroid),
b. Hyperplasia (small thyroid),
c. Ectopic (not at normal location) thyroid gland
Autoimmune Thyroiditis (Hashimoto thyroiditis):
Inflammation causes insufficient production of thyroid hormones
Iodine deficiency can cause less production of thyroxine

Secondary Causes:
Radioactive iodine decreases secretion of thyroid hormones
Excess removal of thyroid gland causes reduced production of thyroid hormones.
Myxedema during or after pregnancy.

Symptoms of myxedema are thickening of the skin and other symptoms linked with hypothyroidism, such as:
Fatigue,
Weight gain,
Depression,
Dry skin

Diagnosis:
High TSH and low levels of T4 and T3 normally means Myxedema

Myxedema is most often managed by treating the underlying cause of hypothyroidism that led to the thickening and coarseness of the skin:
Hormone replacement with daily doses of thyroxine
Thyroxine dosage is adjusted until a normal TSH level
Life long treatment needed
Topical steroids help

TABLE OF CONTENT
Introduction
Chapter 1 Myxedema
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Congenital Hypoth...


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...