Euthyroid Sick Syndrome, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

by Kenneth Kee

Publisher: Kenneth Kee

Publication Date: September 10, 2018

ISBN: 9780463732731

Binding: Kobo eBook

Availability: eBook

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This book describes Euthyroid Sick Syndrome, Diagnosis and Treatment and Related Diseases
Euthyroid Sick Syndrome is a disorder featured by abnormal findings of thyroid function tests in the absence of hypothalamic-pituitary and thyroid gland dysfunction.
These abnormal findings in thyroid function test are often linked with disorders such as:
Underlying systemic diseases such as renal diseases, cardiovascular diseases, pulmonary diseases, gastrointestinal diseases etc.

  1. Metabolic disorders
  2. Chronic illness such as diabetes
  3. Inflammatory conditions
  4. Fasting and starvation
  5. Trauma
  6. Burns and sepsis
  7. Myocardial infarction
  8. Stress
  9. Malignancies
  10. Surgeries such as bone marrow transplantation
    In adult patients admitted to a medical service:
  11. 50% develop a low serum T3 level,
  12. 15%-20% develop a low T4 level, and
  13. 10% have an abnormal TSH level (either low or high).
    Generally, there are no predisposing genetic or seasonal risk factors.
    It is often seen in link with:
  14. Fasting,
  15. Starvation,
  16. Anorexia,
  17. Pneumonia,
  18. Trauma,
  19. Critical cases in ICU,
  20. Stress,
  21. Post cardiopulmonary bypass,
  22. Renal failure,
  23. Diabetic ketoacidosis,
  24. Liver cirrhosis,
  25. Sepsis.
    The most frequent symptoms and signs happen in acutely ill patients
    The symptoms are:
  26. Bradycardia,
  27. Hypotension,
  28. Hypoventilation,
  29. Hypotonia, and
  30. Altered mental status.
    These features may also happen with hypothyroidism
    Euthyroid sick syndrome very often imitates hypothyroidism.
    It is a disorder in which the patient normally shows signs of hypothyroidism such as:
  31. Extreme tiredness or fatigue
  32. Weight gain
  33. Disturbed ...