ABSTRACT
We present and discuss the clinical case of middle aged man who initially diagnosed with primary hypothyroidism and then progressed into hyperthyroid state, besides describing the case scenario; we also discuss the possible underlying immunological mechanisms
Subject(s)
Humans , Male , Hyperthyroidism/diagnosis , Hashimoto Disease , Graves Disease , Immunoglobulins, Thyroid-Stimulating , Thyroid Function TestsABSTRACT
The clinical course of a forty-two year old lady who was diagnosed having pituitary prolactinoma, treated with dopaminergic agonists, surgery and radiation therapy is presented. This report describes the clinical progression, laboratory and imaging findings and treatments offered throughout the course
Subject(s)
Humans , Female , Pituitary Neoplasms , Prolactinoma/drug therapy , Prolactinoma/surgery , Prolactinoma/radiotherapy , Ergolines , Transcutaneous Electric Nerve Stimulation , Magnetic Resonance ImagingABSTRACT
To evaluate to -what extent Tawam Hospital Diabetes Clinic is achieving internationally accepted targets for gly-caemic control [HbAlc], lipid control, and blood pressure [BP] control. The study was conducted at Tawam Hospital Diabetes Clinic in 2004. 10% of the clinic population was selected by systematic randomization. We looked at HbAlc, lipids and BP control. We also reviewed the prescribing patterns. We retrospectively compared these variables over a two year period. Results were analyzed by SPSS statistical program. We also compared our results with other centers. A total of 99 files were reviewed and entered in this observational study. A target of HbAlc of < 7% was achieved in 27% of cases, and target BP of <130/80 mmHg was achieved in 52% of patients in this cohort. Target LDL cholesterol < 2.6 mmol/L was achieved in 29% of cases. The glycaemic control and lipid profile compared unfavorably with some centers despite higher use of oral hypoglycaemic agents, insulin and statins. BP control however, compared favourably with other centers