Angina -- Management through lifestyle alterations
Mnemonic: SLEWSmoking cessation
Low-fat diet
Exercise
Weight loss
Clinical presentation of Impetigo
Mnemonic: IMPETIGOInfection 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
Obesity
Malar flush/Menorrhagia
Slowness / Skin and hair become dry
Onset is gradual
Tired
Intolerance to cold
Raised blood pressure
Energy levels are low
Depressed
Symptoms of hyperthyroidism
Mnemonic: SWEATINGSweating
Weight loss
Emotional lability
Appetite is increased
Tremor/Tachycardia due to AF
Intolerance to heat/Irregular menstruation/Irritability
Nervousness
Goitre and Gastrointestinal problems (loose stools/diarrhoea)
Blood pressure is lowered not raised.
ReplyDeleteIt is true that Blood pressure is elevated in hypothyroidism:
DeleteEven 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.”
http://www.stopthethyroidmadness.com/blood-pressure/
Thank you :)
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