Congenital hyperthyroidism is most likely the single most preventable cause of intellectual disability, especially in the Southern African context where routine screening is not performed currently.
Disease summaries
Don’t measure L:P-ratio when lactate is <2.2mM If lactate is high: L:P will be high in mitochondrial problems (hypoxia, mt cytopathy, complex deficiencies) – the common ones. L:P will be 50
By Dr. Janet Simons on June 26, 2019 By Dr. Janet Simons (biography, no disclosures) What gap I have noticed Calcium levels are commonly ordered in both primary and acute care in patients 50
HOSP # Mrs DW WARD Endocrine Department – CathLab – UCT private Hospital CONSULTANT Dr Jody Rusch DOB/AGE 49y Female Abnormal Result 49yr old female Presenting Complaint Medical complaint: 50
Clive Gray – Professor in Immunologyimmunopaedia.org – useful web site for immunology resources. Outline: Basics of Immunology A balance between inflammation and tolerance What happens to people who progress to 50
HOSP # WARD General Practitioner Practice in Robertson CONSULTANT Dr. Jody Rusch DOB/AGE 83 year Male Abnormal Result Serum protein electrophoresis demonstrates a 4.4 g/L, IgG kappa monoclonal peak 50
HOSP # WARD Medical Ward CONSULTANT Dr. Jody Rusch DOB/AGE 59 Y Male Abnormal Result Hypercalcemia with hypophosphatemia Presenting Complaint History This is a patient with parathyroid adenoma (and 50
Introduction Vitamin D status is considered important for calcium balance and bone health as 1,25 (OH)2 vitamin D (calcitriol) promotes calcium absorption from the gut and has pleiotropic effects in 50
Mutation in the Wilson disease protein (ATP7B) gene, a protein transporting excess copper to bile. Copper build-up in the brain and liver mostly, which can cause fulminant liver failure. Other organs Eyes: Kayser-Fleischer rings 50
n-truncated are deficient in the first few aa’s (7-84) – hence biologically inactive. 1-11 aa sequence is necessary for function. Different assays: Intact PTH measurements: 7-84 and 1-84 Bioactive PTH: 50