Central hypothyroidism

Definition: “Central hypothyroidism is defined as hypothyroidism due to insufficient stimulation by thyroid stimulating hormone (TSH) of an otherwise normal thyroid gland. It can be secondary hypothyroidism (pituitary) or tertiary hypothyroidism (hypothalamus)...

Diabetes Mellitus Type I, Chronic

-Consider Continuous glucose monitoring   —//— A patient with type 1 diabetes mellitus for 15 years begins having episodes of hypoglycemia. His glucose levels were previously stable and well controlled. There has been no recent change in his diet or...

The Menstrual Cycle

Understanding the Menstrual Cycle The average menstrual cycle is 28 days. Day 28 of the ending cycle is the same as day zero of the cycle that is about to start. The normal range for a menstrual cycle is 25 to 35 days. ** Progesterone = Pro-gester-one.  Progesterone...

Thyroid Diseases

Mechanisms or pathogenesis or causes of thyroid disease Thyroiditis Acute thyroiditis | Subacute thyroiditis | Chronic thyroiditis (Hashimoto’s) Silent thyroiditis (painless thyroiditis) Postpartum thyroiditis (probably a variant of silent thyroiditis) NB: Both...

Calcitonin

Calcitonin is a hormone produced by the thyroid gland that lowers the levels of calcium and phosphate in the blood (when calcium levels rise above normal) and promotes the formation of bone.  The major source of calcitonin is from the parafollicular or C cells in the...