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	<title>Absolute Medical &#187; Endocrine</title>
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		<title>Case of endocrine</title>
		<link>http://www.drknp.com/discussion/case-of-endocrine</link>
		<comments>http://www.drknp.com/discussion/case-of-endocrine#comments</comments>
		<pubDate>Sun, 21 Feb 2010 05:31:22 +0000</pubDate>
		<dc:creator>drmadhu</dc:creator>
				<category><![CDATA[Discussion]]></category>
		<category><![CDATA[abdominal pain]]></category>
		<category><![CDATA[Endocrine]]></category>
		<category><![CDATA[hypotension]]></category>
		<category><![CDATA[nausea]]></category>
		<category><![CDATA[vomiting]]></category>

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		<description><![CDATA[3 years old female child comes to ED with abdominal pain, nausea, vomiting and hypotension. She has severe weight loss since 1 year of duration.Previously she was diagnose as transient hypoparathyrodism. Her lab investigation shows Hb decreased ,cortisol &#60;495nmol/L,Bp &#60;110/70mmHg .Her thyroid function test –T3 &#38; T4 increased TSH decreased  &#38; TPO and TMO  is [...]
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<p>3 years old female child comes to ED with abdominal pain, nausea, vomiting and hypotension. She has severe weight loss since 1 year of duration.Previously she was diagnose as transient hypoparathyrodism.</p>
<p>Her lab investigation shows Hb decreased ,cortisol &lt;495nmol/L,Bp &lt;110/70mmHg .Her thyroid function test –T3 &amp; T4 increased TSH decreased  &amp; TPO and TMO  is positive. fasting blood glucose is elevated.</p>
<p>On PE  her thyroid is 3degree enlarged .</p>
<p>What would be ur further investigation &amp; wt is ur diagnosis ?????</p>
<p>No related posts.</p>]]></content:encoded>
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