Friday, 18 May 2012

Angina  -- Management through lifestyle alterations 

Mnemonic: SLEW 
 Smoking cessation 
 Low-fat diet 
 Weight loss

Clinical presentation of Impetigo 

Mnemonic: IMPETIGO
Infection with Staphylococcus aureus, Streptococcus pyogenes or both 
Mostly in young children 
Particularly around nose and surrounding parts of face 
Erythematous base with honey-coloured crusts 
Treat with Topical antibiotic such as fusidic acid for localized lesions 
Individuals are highly contagious from skin-to-skin contact; Improve hygiene; do not share towels 
Gram stain and culture of swab diagnostic 
Oral flucloxacillin required for widespread impetigo 

Symptoms of hypothyroidism 

Mnemonic: MOMʼS SO TIRED
Memory loss 
Malar flush/Menorrhagia 
Slowness / Skin and hair become dry 
Onset is gradual 
Intolerance to cold 
Raised blood pressure 
Energy levels are low 

Symptoms of hyperthyroidism 

Mnemonic: SWEATING 
Weight loss 
Emotional lability 
Appetite is increased 
Tremor/Tachycardia due to AF
Intolerance to heat/Irregular menstruation/Irritability 
Goitre and Gastrointestinal problems (loose stools/diarrhoea)


  1. Blood pressure is lowered not raised.

    1. It is true that Blood pressure is elevated in hypothyroidism:

      Even though many thyroid patients, or those on the poor treatment of T4-only meds like Synthroid, can start out with low blood pressure, factors related to having low blood pressure can create HIGH blood pressure over time. For example, the kidneys fail to filter waste products from your body properly when your pressure is low, and “angiotensin” is produced, which raises your blood pressure. Also, a rise in cortisol from your adrenals as a way to keep you going in the face of a poor thyroid treatment can raise your blood pressure.

      “Also when patients are low thyroid, blood is shunted from the extremities into the body core, which tends to raise pressure by forcing the same volume of blood into a smaller network of vessels. This shunting is brought about by a constriction of peripheral vessels. Hypothyroid patients produce an excess of noradrenalin from the adrenal gland, which constricts blood vessels all over the body, another effort of the body ot combat the low pressure. This in turn is partly related to the effort by the body to raise blood sugar levels when low. Production of Noradrenalin can actually be thirty times normal.”

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