Sandbox spinalcord: Difference between revisions
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==Risk factors== | |||
Common risk factors that can trigger myxedema coma in patients with hypothyroidism include: | |||
• Hypothermia | |||
• CVA | |||
• CHF | |||
• Infections ( pneumonia, influenza, UTI, sepsis) | |||
• Drugs ( Anesthestics, narcotics, amidirone, Lithium carbonate) 6486153 | |||
• GI bleeding | |||
• Metabolic disturbances(Hypoglycemia, hyponatremia, acidosis, hypercalcemia, hypoxemia, hypercapneia) | |||
==History== | |||
* History of antecedent thyroid disease | |||
* History of radioiodine therapy or thyroidectomy | |||
* Discontinuation of medications. | |||
==Historical Perspective== | |||
*In 874, Gull was the first physician to describe hypothyroidism under the name myxedema due to its characteristics of swollen skin and its mucin content. | |||
*In 1883, Semon was the first to establish a relationship between patients undergoing thyroidectomy and later developing symptoms of myxedema. | |||
*In 1888, Clinical Society of London presented a paper describing that extreme loss of thyroid harmone can lead to cretinism and myxedema. | |||
*In 1891, Murray was the first physician to discover cure for myxedema by using hypodermic injections of sheep thyroid extract. | |||
Revision as of 22:14, 19 September 2017
Risk factors
Common risk factors that can trigger myxedema coma in patients with hypothyroidism include: • Hypothermia • CVA • CHF • Infections ( pneumonia, influenza, UTI, sepsis) • Drugs ( Anesthestics, narcotics, amidirone, Lithium carbonate) 6486153 • GI bleeding • Metabolic disturbances(Hypoglycemia, hyponatremia, acidosis, hypercalcemia, hypoxemia, hypercapneia)
History
- History of antecedent thyroid disease
- History of radioiodine therapy or thyroidectomy
- Discontinuation of medications.
Historical Perspective
- In 874, Gull was the first physician to describe hypothyroidism under the name myxedema due to its characteristics of swollen skin and its mucin content.
- In 1883, Semon was the first to establish a relationship between patients undergoing thyroidectomy and later developing symptoms of myxedema.
- In 1888, Clinical Society of London presented a paper describing that extreme loss of thyroid harmone can lead to cretinism and myxedema.
- In 1891, Murray was the first physician to discover cure for myxedema by using hypodermic injections of sheep thyroid extract.