Graves's disease (diffuse toxic goitre) Toxic nodular goitre Multinodular (Plummer's disease) Uninodular (toxic adenoma) Nodular goitre with Graves's disease Excess thyroid stimulating hormone Pituitary tumour Choriocarcinoma and hydatidiform mole Embryonal testicular carcinoma Other malignancy (?) Extraneous thyroid hormone Exogenous: Intentional factitious Overenthusiastic therapy During T-3 ...

The dangers of plastic "champagne" corks With the rising cost of cork there are now many types of sparkling wines, such as hock and Moselle, which have a ribbed plastic cork which is securely fastened by a metal band and twisted wire in the conventional way. When these corks are released, however, they are often projected with an extremely high velocity in spite of caution and care on the part ...

purpose: to report a patient with factitious (self infected) conjunctivitis. case report: a 16-year-old girl presented with pain, redness and edema of lids of her left eye. after exclusion of ocular pathologies, self inflicted conjunctivitis was diagnosed based on the underlying psychological and social problems of the patient. conclusion: after exclusion of ocular pathologies, self inflicted c...

Hyperkalaemia is a common electrolyte disorder with potentially lethal consequences and can lead to life-threatening cardiac dysrhythmias. Spurious hyperkalaemia, also known as pseudohyperkalaemia or factitious hyperkalaemiais, is also quite common in clinical practice and it's a source of avoidable emergency department visits or hospital admissions. We report a case in which alarming hyperkala...

AIM To identify features to help paediatricians differentiate between natural and unnatural infant deaths. METHOD Clinical features of 81 children judged by criminal and family courts to have been killed by their parents were studied. Health and social service records, court documents, and records from meetings with parents, relatives, and social workers were studied. RESULTS Initially, 42 ...