Patients undergoing total thyroidectomy may require higher doses of thyroxine to achieve euthyroidism when compared to patients with similar anthropometric parameters having primary hypothyroidism. The method of replacing thyroxine based on LBM is the ideal method, but replacement based on fixed-dose regimens could be a good method if the body weight is taken into consideration.
In the developing countries, which have severe vitamin D and calcium deficient population, PHPT patients present with advanced disease and particularly severe bone symptoms. There is presently only level IV evidence of vitamin D status affecting the clinical severity of PHPT.
FNAC of PVT is a simple, safe, effective, well-tolerated, and economical method for staging of patients with HCC. When used as the initial diagnostic procedure, in selected patients, it can provide the diagnosis and staging information simultaneously.
Introduction: Minimal access surgery has revolutionized surgery and is considered the gold standard of management for most surgical pathologies of the abdomen. We present a case which to our best knowledge is the first ever report of the nonsurgical management of a pancreaticoduodenal artery (PDA) pseudo aneurysm following laparoscopy assisted Frey's procedure (LAFP). Case Report: A 38yearold male patient was transferred to our hospital due to persistent gastrointestinal bleeding following LAFP. He underwent LAFP for chronic calcific pancreatitis (CCP) two weeks prior to his transfer. Computed tomography angiogram showed the source of bleeding to be a branch of superior pancreaticoduodenal artery (SPDA). The patient was taken to interventional radiology where successful superselective microcoil embolization was performed. We present this rare case of pancreaticoduodenal pseudoaneurysm along with a review of medical
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