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This book describes Thyrotoxicosis, Diagnosis and Treatment and Related Diseases
Thyrotoxicosis is a very common disease among women in the clinic.
They are usually triggered by stress factors.
They normally present with an enlarged thyroid gland although 30 per cent do not.
They usually complained of feeling hot all the time even when there is rain and a very fast heart beat.
The other signs are loss of weight and tremors of the hands,
Sometimes the eyes are seen to be bulging.
Treatment with medications is usually effective
Thyrotoxicosis is the hyper-metabolic
…mehr

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

Thyrotoxicosis is a very common disease among women in the clinic.

They are usually triggered by stress factors.

They normally present with an enlarged thyroid gland although 30 per cent do not.

They usually complained of feeling hot all the time even when there is rain and a very fast heart beat.
The other signs are loss of weight and tremors of the hands,

Sometimes the eyes are seen to be bulging.

Treatment with medications is usually effective

Thyrotoxicosis is the hyper-metabolic disorder that is featured by the many toxic symptoms induced by raised thyroid hormone levels with or without higher thyroid hormone synthesis.

Hyperthyroidism is a group of disorders that affect the excessive synthesis and secretion of thyroid hormones by the thyroid gland.

Thyrotoxicosis is often erroneously used interchangeably with hyperthyroidism which is a form of thyroid disease caused by excessive endogenous thyroid hormone production.

The medical manifestation differs, ranging from asymptomatic or sub-clinical, to life-threatening thyroid storm.

Typical symptoms are caused by the hyper-metabolic state induced by excess thyroid hormones.

Thyrotoxicosis is produced by a disorder that raises the output of thyroid hormones:

Higher endogenous secretion of thyroid hormone

Graves' disease - diffuse goiter (enlarged thyroid) produced by autoimmune antibodies stimulation of the thyroid gland to secrete more thyroid hormones.

Plummer's Disease (Toxic nodular thyroid)

Hashimoto's Disease (Thyroiditis)

Toxic thyroid adenoma causes excessive thyroid hormone production from a single nodule in the thyroid gland.

TSH-producing adenoma or pituitary adenoma is tumors of the pituitary gland that produce thyroid-stimulating hormone (TSH), which causes excess secretion of thyroid hormones (T3 and T4) by the thyroid gland

HCG-mediated thyrotoxicosis: HCG is a hormone that reaches high levels during pregnancy and is a thyroid stimulator that can produce different types of thyrotoxicosis during a pregnancy.

Drug-induced thyrotoxicosis: The drugs which may produce thyrotoxicosis are interferon, molecular-targeted agents, amiodarone, and thyroid hormone itself.

Higher exogenous secretion of thyroid hormone

Factitious thyrotoxicosis: thyrotoxicosis due to the accidental or intentional thyroxine ingestion.
Idiopathic Hyperthyroid Disease is produced by ingestion of excessive replacement therapy with levothyroxine hormone.

The most frequent cause of thyrotoxicosis is Graves' disease, accompanied by toxic multi-nodular goiter (TMNG) and toxic adenoma (TA).

Other causes are thyroiditis, sub-acute thyroiditis, and gestational thyrotoxicosis.

Rare causes of thyrotoxicosis are struma ovarii, gestational trophoblastic neoplasia, activation mutations of the TSH receptor and thyroid cancer metastases

Patients with thyrotoxicosis most often present with symptoms linked to excess thyroid hormone such as:
Weight loss with increased appetite,
Heat intolerance with raised sweating,
Palpitations,
Tremor,
Anxiety,

Thyrotoxicosis is evident by reduced TSH levels and raised T3 and T4 levels

There are 3 main treatments:
Anti-thyroid drugs
Radioactive iodine therapy
Thyroid surgery

Surgery may be needed:
a. if the thyrotoxicosis did not improve with anti-thyroid drugs
b. if the thyrotoxic women do not want radioactive iodine therapy

TABLE OF CONTENT
Introduction
Chapter 1 Thyrotoxicosis
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Graves's Disease
Chapter 8 Thyroid Eye Disease
Epilogue


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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...