The document summarizes several common endocrine disorders including those of the pituitary gland, thyroid gland, adrenal gland, and pancreas. Specifically, it discusses:
1. Gigantism and acromegaly, which are caused by excess growth hormone secretion from the pituitary gland, with the difference being whether it occurs in childhood or adulthood.
2. Disorders like pituitary dwarfism, hyperprolactinemia, and diabetes insipidus which result from underproduction of hormones by the pituitary gland.
3. Thyroid disorders including hypothyroidism, Graves' disease, thyroiditis and goiters, which can be due to overproduction or underproduction of thyroid hormones.
When too much growth hormone is secreted that augments the growth of muscle, bones, and connective tissue in childhood or adolescence before the end of puberty, the condition is called Gigantism.
Simmonds disease is a chronic deficiency of function of the pituitary gland, a form of hypopituitarism, that leads to atrophy of many of the viscera, including the heart, liver, spleen, kidneys, thyroid, adrenals, and gonads. The disease results in emaciation and death if left untreated.
When too much growth hormone is secreted that augments the growth of muscle, bones, and connective tissue in childhood or adolescence before the end of puberty, the condition is called Gigantism.
Simmonds disease is a chronic deficiency of function of the pituitary gland, a form of hypopituitarism, that leads to atrophy of many of the viscera, including the heart, liver, spleen, kidneys, thyroid, adrenals, and gonads. The disease results in emaciation and death if left untreated.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
2. DISORDERS OF ENDOCRINE
GLANDS
•Endocrine disorders are commonly caused by
tumours or autoimmune diseases and their
effects are usually the result of:
• hypersecretion (overproduction) of
hormones, or
• hyposecretion (underproduction) of
hormones.
3. DISORDERS OF PITUITARY GLAND
Gigantism Acromegaly
Gigantism is the disorder in which
excess amounts of growth hormone
are secreted from the pituitary gland
during a person’s childhood.
Acromegaly is the over secretion of
growth hormone from the pituitary
gland starting at some time between the
ages of 20 and 40 years.
This occurs in children This Occurs in adults
In gigantism the jaw becomes
prominent and the forehead
protrudes.
In acromegaly, the tongue often
changes size and shape, the jaw also
protrudes and the lips thicken.
A person with gigantism does have
increased height because they are
children who are still growing.
A person with acromegaly does not
experience an increase in height
because the condition starts in
adulthood.
The gonads (reproductive organs) are The gonads (reproductive organs) are
1. Gigantism and acromegaly
The most common cause is prolonged hypersecretion of growth hormone.
4. DISORDERS OF PITUITARY GLAND
2. Pituitary dwarfism:
• This is caused by Hypo secretion of Growth Hormone,
• Pituitary disorder in children characterized by stunted
growth.
• Stunted skeletal growth
• Maximum height approximately 3 feet
• Head becomes slightly larger in relation of body
• Mental activity is normal without any deformity
5. DISORDERS OF PITUITARY GLAND
3. Hyperprolactinaemia
• This is caused by a tumour that secretes large amounts
of prolactin.
• It causes galactorrhoea (inappropriate milk secretion),
• amenorrhoea (cessation of menstruation)
• sterility in women and impotence in men.
6. DISORDERS OF PITUITARY GLAND
4.Diabetes insipidus
• This is a condition usually caused by hypo-secretion
of ADH due to damage to the hypothalamus
• Water reabsorption by the renal tubules is impaired,
leading to excretion of excessive amounts of dilute
urine, often more than 10 litres daily, causing
dehydration and extreme thirst.
8. •Hypothyroidism
• It resulting from decrease in level of T3 and T4 in blood
1. Myxoedema: Myxodema is caused in adults due to the
deficiency of thyroid hormones.
• The patient attains puffy appearance and lacks alertness,
intelligence and initiative.
• Other symptoms are lethargy, weight gain, fatigue, depression,
and cold sensitivity.
DISORDERS OF THYROID GLAND
9. DISORDERS OF THYROID GLAND
2. Cretinism: Cretinism is hypothyroidism in children.
• Failure of thyroid secretion causes retardation of
growth of all forms (physical, mental and sexual) in
young ones.
• Symptoms of cretinism are lack of weight gain,
stunted growth, fatigue, lethargy, poor feeding,
thickened facial features, abnormal bone growth and
mental retardation.
10. DISORDERS OF THYROID GLAND
3. Thyroiditis:
• It is an inflammation (not an infection) of the
thyroid gland.
•When our immune system attacks the thyroid
gland this causes inflammation (the body’s
response to injury) and damages the thyroid cells.
11. DISORDERS OF THYROID GLAND
Hyperthyroidism:
•It resulting from increase in level of T3 and T4
in blood
•Symptoms of hyperthyroidism are nervousness,
anxiety, rapid heartbeat, hand tremor,
excessive sweating, weight loss, and sleep
problems
12. DISORDERS OF THYROID GLAND
4. Graves’ disease:
•Graves’ disease is a type of autoimmune
problem that causes the thyroid gland to
produce too much thyroid hormone.
•Graves’ disease is often the underlying cause of
hyperthyroidism.
13. DISORDERS OF THYROID GLAND
Symptoms include:
• Weight loss—despite increased appetite
• Anxiety, restlessness, tremors, irritability, difficulty sleeping
(insomnia)
• Heat intolerance, sweating
• Chest pain, palpitations
• Shortness of breath, difficulty breathing
• Increased stool frequency (with or without diarrhoea)
• Irregular menstrual periods
• Muscle weakness
14. DISORDERS OF THYROID GLAND
5. Goitre:
• A goitre, is a swelling in the neck resulting from an
enlarged thyroid gland.
• Goitre caused by decrease in level of T3 and T4 in
blood that stimulate secretion of TSH, resulting in
hyperplasia (increase in size) of gland.
•Main reason of goitre is low intake of iodine.
15. DISORDERS OF ADRENAL GLAND
1.Addison disease:
• It is chronic disorder in which adrenal glands does not
produce enough adrenal hormones
• Addison's is an autoimmune disease—a condition in
which the immune system attacks the body's own
tissues and cells, this reaction results in damage to the
adrenal glands. In the long term, this damage can get
worse until eventually the adrenal glands stop working.
• Common symptoms are abdominal pain, weakness, and
16. DISORDERS OF ADRENAL GLAND
2. Cushing’s syndrome
• Cushing’s syndrome (CS) is a rare problem caused when
the adrenal gland(s) makes too much of a hormone called
cortisol.
• CS is most often due to a tumor or mass found in the
pituitary gland, but can also be caused by tumors in the
adrenal glands themselves
17. DISORDERS OF ADRENAL GLAND
• Symptoms of Cushing’s syndromes
• Moon face" (round and full face),
• "Buffalo hump" (fat bulge between the shoulders),
• Gaining weight around your belly,
• Skin becomes thin.,
• Lack of muscle strength (difficulty standing up from a
seated position
• Sexual abnormalities,
• More body hair,
• Menstrual changes in women
18. DISORDERS OF PANCREAS:
Diabetes Mellitus
• Diabetes mellitus (DM) is a common metabolic condition
of hyperglycemia caused by complete or partial insulin
deficiency and its actions.
• Type 1 DM (previously referred to as Juvenile Onset
Diabetes): T1DM is due to autoimmune destruction of
pancreatic beta cells resulting in insulin deficiency.
19. DISORDERS OF PANCREAS:
•Type 2 DM: T2DM is typically due to
insulin resistance with some B-cell
impairment. The insulin resistance can be
observed at the level of skeletal muscle,
liver, and adipose tissue, but can result in
actual insulin deficiency.