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Showing posts from December, 2021

thyroid dysfunction in type 2 DM

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848627/ Both T2DM and TD are chronic diseases that require lifelong treatment and have a long-lasting effect on cardiovascular health. According to the International Diabetes Federation (IDF), in the year 2017, approximately 425 million adults worldwide were living with diabetes. The total prevalence of diabetes is increasing and is expected to be 629 million by 2045. As per a large European meta-analysis, TD is present in 3.82% of the general population. Its prevalence among those with T2DM is significantly higher, ranging from 9.9 to 48%  A little light on thyroid effect on Diabetes and Vice versa Excess circulating thyroid hormones in hyperthyroidism is associated with poor glycaemic control. When normal individuals develop hyperthyroidism, nearly 2–3% of them develop overt diabetes. Nearly 50% of those with Graves’ disease have some degree of glucose intolerance. Diabetic patients with hyperthyroidism experience worsened glycae...

21 year old with drug induced tremors

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On 2/12/2021 A 21 year old girland she has been feeling lonely and has been experiencing this feeling of being isolated since she was 13 years old. Around the same age, her grandmother was diagnosed with Alzheimer’s disease and her prognosis kept detoriating over time. Currently she is in a vegetative stage. The student tells me that her grandmother was very close to her so this caused her feeling even more depressed and lonely. She even consumed a bottle full of iron tablets, in order to end her life. She did visit counselling back then but never initiated medication or spoke to her family regarding these issues she's been facing  1 year back she confronted her mom and she told her how she was feeling and her mother took her to a psychiatrist and that's when she was started on medications 2 months she was diagnosed even with bipolar disorder. She tells that she feels anxious for small things. She then started to experience since 2 months tremors of Bilateral upper limbs and st...

65 M with Lower limb Weakness

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Currently in ward, yesterdays admission  A 65 year old man, working as a maestri at Nakrekal presented yesterday to our OPD with the complaints of  Neck pain since 15 days Bilateral lower limb weakness since 15 days  Unable to hold objects with bilateral hands since 12 days Numbness in all the four limbs (UL>LL) A 65 year old man, works as a maestri by occupation and is a father to 5 children gives a history of left femur fracture for which he used splint and other ayurvedic medications. 6 months back he started to experience giddiness after which he was diagnosed to be a diabetic after he was taken to a local hospital and he was initially started on Tab Metformin 500mg OD, he was later started on Tab Glimi M1 OD a month later. Since the past 6 months the patients grandson tells us that he has been developing itchy, hyperpigmented lesions on and off after consuming chicken, or fish. 20 days back after consuming fish he developed scaly itchy hyperpigmented lesions over ...