Alan Farwell

All articles by Alan Farwell

Nonthyroidal illness

Are you sure the patient has nonthyroidal illness? Critical illness causes multiple nonspecific alterations in thyroid hormone concentrations that relate to the severity of the illness in patients who have no intrinsic thyroid disease. There is an ongoing debate whether such alterations are a physiologic adaptation or a pathologic perturbation. Due to the complexity of…

Thyroid Disorders: Sick Euthyroid Syndrome

Sick Euthyroid Syndrome Non-thyroidal illness syndrome Continue Reading 1. Description of the problem What every clinician needs to know Critical illness causes multiple nonspecific alterations in thyroid hormone concentrations in patients who have no intrinsic thyroid disease that relate to the severity of the illness. There is an ongoing debate whether such alterations are a…

Thyroid Disorders: Complications of thyroid surgery

1. Description of the problem What every clinician needs to know Whenever possible, thyroid surgery should be performed by an experienced, high-volume surgeon to minimize complications. Chronic complications include hypothyroidism (which is the expected result of most thyroid surgery) and hypoparathyroidism. In the hands of an experienced, high-volume surgeon, the incidence of acute complications and…

Thyroid Disorders: Myxedema Coma

Also known as: Myxedema coma Related conditions: Hypothyroid crisis, myxedema crisis Continue Reading 1. Description of the problem What every clinician needs to know Myxedema coma is a rare syndrome that represents the extreme expression of severe, long-standing hypothyroidism. It is a medical emergency and, even with early diagnosis and treatment, the mortality can be…

Thyroid Disorders: Thyroid Storm

Thyroid Storm Also known as: Hyperthyroid crisis, thyroid crisis, thyrotoxic crisis Continue Reading 1. Description of the problem What every clinician needs to know Thyroid storm is a rare, life-threatening complication of thyrotoxicosis, which is usually precipitated by an intercurrent medical problem. Hyperthyroidism is the most common cause of thyrotoxicosis leading to thyroid storm. While…

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