SlideShare une entreprise Scribd logo
1  sur  51
Hypothyroidism and Hyperthyroidism in the Elderly Chien Yung-Chang , MD .
 
Free T4 ,[object Object],[object Object],[object Object],[object Object]
Total T4 ,[object Object],[object Object],[object Object],[object Object]
TSH ,[object Object],[object Object],[object Object]
T3 ,[object Object],[object Object],[object Object]
Functional examinations ,[object Object],[object Object]
Erythrocyte sedimentation rate ,[object Object]
The Role of the History in Diagnosing Hypothyroidism  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms of Hypothyroidism ,[object Object],[object Object],[object Object],[object Object]
Sings and Symptoms of Hypothyroidism (continued ) ,[object Object],[object Object],[object Object]
The Physical Examination in Hypothyroidism  ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Physical Examination in Hypothyroidism ( continued ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Heart in the Hypothyroid State ,[object Object],[object Object],[object Object],[object Object]
The Heart in the Hypothyroid State ( continued ) ,[object Object],[object Object],[object Object]
Laboratory Diagnosis of Hypothyroidism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis of Hypothyroidism ( continued ) ,[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis of Hypothyroidism ( continued ) ,[object Object],[object Object]
The Diagnosis of Myxedema Coma ,[object Object],[object Object]
Precipitating Events for Myxedema Coma ,[object Object],[object Object],[object Object]
Clinical Features of Myxedema Coma ,[object Object],[object Object],[object Object],[object Object]
Clinical Features of Myxedema Coma ( continued ) ,[object Object],[object Object],[object Object],[object Object]
Clinical Features of Myxedema Coma ( continued ) ,[object Object],[object Object],[object Object],[object Object]
Laboratory Database of Myxedema Coma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Myxedema Coma ,[object Object],[object Object],[object Object],[object Object]
Factors Associated with poor come  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Initiation of Treatment in ED for Myxedema Coma ,[object Object],[object Object],[object Object]
Initiation of Treatment in ED for Myxedema Coma ( continued ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendation for Admission for the Hypothyroid Patient ,[object Object],[object Object],[object Object]
Recommendation for Admission for the Hypothyroid Patient ( continued ) ,[object Object],[object Object],[object Object]
Recommendation for Admission for the Hypothyroid Patient ( continued ) ,[object Object],[object Object],[object Object]
Symptoms and Signs of Thyrotoxicosis ,[object Object],[object Object],[object Object],[object Object]
Symptoms and Signs of Thyrotoxicosis ( continued ) ,[object Object],[object Object],[object Object]
Symptoms and Signs of Thyrotoxicosis ( continued ) ,[object Object],[object Object],[object Object]
Physical Findings in the Hyperthyroid State ,[object Object],[object Object],[object Object],[object Object]
Physical Findings in the Hyperthyroid State ( continued ) ,[object Object],[object Object],[object Object],[object Object]
The Heart in Thyrotoxicosis ,[object Object],[object Object]
Laboratory Testing in Thyrotoxicosis ,[object Object],[object Object],[object Object],[object Object]
Thyroid Storm ,[object Object],[object Object],[object Object],[object Object]
Precipitants  of Thyroid Storm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology of Thyroid Storm ,[object Object],[object Object]
Diagnosis of Thyroid Storm ,[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis of Thyroid Storm ,[object Object],[object Object],[object Object]
Treatment of Thyroid Storm ,[object Object],[object Object],[object Object]
Treatment of Thyroid Storm ( continued ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Thyroid Storm ( continued ) ,[object Object],[object Object]
Adjunctive Therapy for Thyroid Storm  ,[object Object],[object Object],[object Object],[object Object]
Adjunctive Therapy for Thyroid Storm ( continued ) ,[object Object],[object Object]
Admission Criteria for the Hyperthyroid Elderly Patient ,[object Object],[object Object],[object Object],[object Object]
Admission Criteria for the Hyperthyroid Elderly Patient ( continued ) ,[object Object],[object Object],[object Object]
Admission Criteria for the Hyperthyroid Elderly Patient ( continued ) ,[object Object],[object Object],[object Object]

Contenu connexe

Tendances

Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
BAU
 
Hypo & hyperthyriodism
Hypo & hyperthyriodismHypo & hyperthyriodism
Hypo & hyperthyriodism
raj kumar
 
Hypothyroidism --a clinical perspective
Hypothyroidism --a clinical perspectiveHypothyroidism --a clinical perspective
Hypothyroidism --a clinical perspective
Dhiran Verghese
 

Tendances (20)

Thyroid disorders
Thyroid disordersThyroid disorders
Thyroid disorders
 
Hyperthyrodism
HyperthyrodismHyperthyrodism
Hyperthyrodism
 
Parathyroid disorders
Parathyroid disordersParathyroid disorders
Parathyroid disorders
 
Lect 3-thyroid disorders
Lect 3-thyroid disordersLect 3-thyroid disorders
Lect 3-thyroid disorders
 
Hyperthyroidism & hypothyrodism
Hyperthyroidism  &  hypothyrodismHyperthyroidism  &  hypothyrodism
Hyperthyroidism & hypothyrodism
 
Graves' disease
Graves' diseaseGraves' disease
Graves' disease
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Thyroid gland disorder
Thyroid gland disorder Thyroid gland disorder
Thyroid gland disorder
 
Thyroid Gland and Disease of Thyroid Gland
Thyroid Gland and Disease of Thyroid GlandThyroid Gland and Disease of Thyroid Gland
Thyroid Gland and Disease of Thyroid Gland
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Hypo & hyperthyriodism
Hypo & hyperthyriodismHypo & hyperthyriodism
Hypo & hyperthyriodism
 
Medical management of Thyroid disease
Medical management of Thyroid diseaseMedical management of Thyroid disease
Medical management of Thyroid disease
 
Hypothyroidism --a clinical perspective
Hypothyroidism --a clinical perspectiveHypothyroidism --a clinical perspective
Hypothyroidism --a clinical perspective
 
Hypothyroidism: Evaluation & Management by Dr Selim
Hypothyroidism: Evaluation & Management by Dr SelimHypothyroidism: Evaluation & Management by Dr Selim
Hypothyroidism: Evaluation & Management by Dr Selim
 
Hyperthyroidism
HyperthyroidismHyperthyroidism
Hyperthyroidism
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Myxedema coma
Myxedema comaMyxedema coma
Myxedema coma
 
Parathyroid disorders
Parathyroid disorders Parathyroid disorders
Parathyroid disorders
 
Thyroid disorders
Thyroid disorders Thyroid disorders
Thyroid disorders
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 

En vedette (7)

Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
anemia ppt.
 anemia ppt. anemia ppt.
anemia ppt.
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Anemia ppt
Anemia pptAnemia ppt
Anemia ppt
 
Anemia
AnemiaAnemia
Anemia
 
Anemia
AnemiaAnemia
Anemia
 
Diabetes Mellitus
Diabetes MellitusDiabetes Mellitus
Diabetes Mellitus
 

Similaire à Hypothyroidism and Hyperthyroidism

Sub clinical thyroid dysfunction
Sub clinical thyroid dysfunctionSub clinical thyroid dysfunction
Sub clinical thyroid dysfunction
DrHarsh Saxena
 
Thyroid Overview
Thyroid OverviewThyroid Overview
Thyroid Overview
Miami Dade
 
Endocrinology Lect2,3 2003
Endocrinology Lect2,3  2003Endocrinology Lect2,3  2003
Endocrinology Lect2,3 2003
guest233fe0
 
Endocrinology Lect2,3 2003
Endocrinology Lect2,3  2003Endocrinology Lect2,3  2003
Endocrinology Lect2,3 2003
Miami Dade
 

Similaire à Hypothyroidism and Hyperthyroidism (20)

Sub clinical thyroid dysfunction
Sub clinical thyroid dysfunctionSub clinical thyroid dysfunction
Sub clinical thyroid dysfunction
 
Thyroidectomy
Thyroidectomy Thyroidectomy
Thyroidectomy
 
Thyroid
ThyroidThyroid
Thyroid
 
Anesthesia: Thyroid and Parathyroid
Anesthesia: Thyroid and ParathyroidAnesthesia: Thyroid and Parathyroid
Anesthesia: Thyroid and Parathyroid
 
Hyperthyroidism bsc nursing
Hyperthyroidism bsc nursingHyperthyroidism bsc nursing
Hyperthyroidism bsc nursing
 
Thyroid parathyroid kinara
Thyroid parathyroid kinaraThyroid parathyroid kinara
Thyroid parathyroid kinara
 
thyroiddisorders-140505124709-phpapp02.pdf
thyroiddisorders-140505124709-phpapp02.pdfthyroiddisorders-140505124709-phpapp02.pdf
thyroiddisorders-140505124709-phpapp02.pdf
 
Thyroid disorders
Thyroid disordersThyroid disorders
Thyroid disorders
 
Thyroiditis
ThyroiditisThyroiditis
Thyroiditis
 
Thyroid Overview
Thyroid OverviewThyroid Overview
Thyroid Overview
 
Endocrinology Lect2,3 2003
Endocrinology Lect2,3  2003Endocrinology Lect2,3  2003
Endocrinology Lect2,3 2003
 
Endocrinology Lect2,3 2003
Endocrinology Lect2,3  2003Endocrinology Lect2,3  2003
Endocrinology Lect2,3 2003
 
Medical information and significance about Hypothyroidism, thyroiditis and Ca...
Medical information and significance about Hypothyroidism, thyroiditis and Ca...Medical information and significance about Hypothyroidism, thyroiditis and Ca...
Medical information and significance about Hypothyroidism, thyroiditis and Ca...
 
Diagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptxDiagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptx
 
Presentation (1)-2.pptx
Presentation (1)-2.pptxPresentation (1)-2.pptx
Presentation (1)-2.pptx
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Thyroid disorders (hyperthyroidism & hypothyroidism)
Thyroid disorders (hyperthyroidism & hypothyroidism) Thyroid disorders (hyperthyroidism & hypothyroidism)
Thyroid disorders (hyperthyroidism & hypothyroidism)
 
Thyroid Storms Emergency and Myxedema Crisis
Thyroid Storms Emergency and Myxedema CrisisThyroid Storms Emergency and Myxedema Crisis
Thyroid Storms Emergency and Myxedema Crisis
 
Endocrinology thyroid disorder
Endocrinology thyroid disorderEndocrinology thyroid disorder
Endocrinology thyroid disorder
 
Endocrinology thyroid disorder
Endocrinology thyroid disorderEndocrinology thyroid disorder
Endocrinology thyroid disorder
 

Plus de MedicineAndFamily

Dental Implant Reliability Improvement
Dental Implant Reliability ImprovementDental Implant Reliability Improvement
Dental Implant Reliability Improvement
MedicineAndFamily
 
Nitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric DentistryNitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric Dentistry
MedicineAndFamily
 
Emergency In Dentistry Part 1
Emergency In Dentistry Part 1Emergency In Dentistry Part 1
Emergency In Dentistry Part 1
MedicineAndFamily
 
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
MedicineAndFamily
 
Recent Developments in the Treatment of Hypertension Recent Developments in...
Recent Developments in the Treatment of Hypertension 	 Recent Developments in...Recent Developments in the Treatment of Hypertension 	 Recent Developments in...
Recent Developments in the Treatment of Hypertension Recent Developments in...
MedicineAndFamily
 
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
MedicineAndFamily
 
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
MedicineAndFamily
 
Dental Care of the Future: Part I
Dental Care of the Future: Part IDental Care of the Future: Part I
Dental Care of the Future: Part I
MedicineAndFamily
 
Community Dentistry Years I - IV
Community Dentistry Years I - IVCommunity Dentistry Years I - IV
Community Dentistry Years I - IV
MedicineAndFamily
 
Preventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde CoursePreventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde Course
MedicineAndFamily
 
Diabetes Mellitus patients in dental management
Diabetes Mellitus patients in dental managementDiabetes Mellitus patients in dental management
Diabetes Mellitus patients in dental management
MedicineAndFamily
 
Minimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for MaterialsMinimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for Materials
MedicineAndFamily
 
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
MedicineAndFamily
 

Plus de MedicineAndFamily (20)

Dental Implant Reliability Improvement
Dental Implant Reliability ImprovementDental Implant Reliability Improvement
Dental Implant Reliability Improvement
 
Dental Radiography Safety
Dental Radiography SafetyDental Radiography Safety
Dental Radiography Safety
 
Nitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric DentistryNitrous Oxide Sedation in Pediatric Dentistry
Nitrous Oxide Sedation in Pediatric Dentistry
 
Primary angioplasty
Primary angioplastyPrimary angioplasty
Primary angioplasty
 
Emergency In Dentistry Part 1
Emergency In Dentistry Part 1Emergency In Dentistry Part 1
Emergency In Dentistry Part 1
 
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... 	 Eviden...
Evidenced Based Dentistry Spring 2006 Group 4 Kevin Hancock Jess ... Eviden...
 
How to Use Dental Floss
How to Use Dental FlossHow to Use Dental Floss
How to Use Dental Floss
 
Face Eye Trauma
Face Eye TraumaFace Eye Trauma
Face Eye Trauma
 
Dental Caries
Dental CariesDental Caries
Dental Caries
 
Recent Developments in the Treatment of Hypertension Recent Developments in...
Recent Developments in the Treatment of Hypertension 	 Recent Developments in...Recent Developments in the Treatment of Hypertension 	 Recent Developments in...
Recent Developments in the Treatment of Hypertension Recent Developments in...
 
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...Subcutaneous emphysema as a complication of tooth extraction 	 Subcutaneous e...
Subcutaneous emphysema as a complication of tooth extraction Subcutaneous e...
 
Psychology in Dentistry
Psychology in DentistryPsychology in Dentistry
Psychology in Dentistry
 
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...The Long QT Syndrome: Overview and Management 	 The Long QT Syndrome: Overvie...
The Long QT Syndrome: Overview and Management The Long QT Syndrome: Overvie...
 
Dental Care of the Future: Part I
Dental Care of the Future: Part IDental Care of the Future: Part I
Dental Care of the Future: Part I
 
Community Dentistry Years I - IV
Community Dentistry Years I - IVCommunity Dentistry Years I - IV
Community Dentistry Years I - IV
 
Preventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde CoursePreventive Dentistry Lecture Cde Course
Preventive Dentistry Lecture Cde Course
 
Diabetes Mellitus patients in dental management
Diabetes Mellitus patients in dental managementDiabetes Mellitus patients in dental management
Diabetes Mellitus patients in dental management
 
Minimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for MaterialsMinimal Intervention Dentistry – The Challenge for Materials
Minimal Intervention Dentistry – The Challenge for Materials
 
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
ANATOMY of TEETH 2 1. Anatomy of a tooth. a. Anatomical crown ...
 
Dental Anatomy
Dental AnatomyDental Anatomy
Dental Anatomy
 

Dernier

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Dernier (20)

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 

Hypothyroidism and Hyperthyroidism

  • 1. Hypothyroidism and Hyperthyroidism in the Elderly Chien Yung-Chang , MD .
  • 2.  
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.