MSN Endocrine Disorders

6
CCMELPM# Hmenlc Ilwne V% @TE NNN 7 PCL 0 Opt% Parlem Ltdacmp/Dk|m# PE# OME Tlvxlo`lp =<# 06=6 T\OOMP^: Dmpl ag Vmxnlext rnxk Lehadpnel Hntaphlpt Hntlmtl Daehnxnae meh Omne Vpa`clo Tnbet meh T~ovxaot Omemblolex Vnx|nxmp~ X|oapt ~ me m`eapomc bparxk ne xkl vnx|nxmp~ bcmeh xk|t xkl nem`ncnx~ ag xkl `ah~ xa plb|cmxl nxt `mcmedl ag kapoaelt Latneavkncnd ~ lmpc~ bnbmexnto +om~`l 2 gx. ~ clxkmpbnd meh rlmi ~ mdpaolbmc~ +ne mh|cx aetlx. ~ tlwlpl klmhmdklt meh wnt|mc hntx|p`medlt ~ hldmcdngndmxnae ag `aelt ~ o|td|cmp rlmieltt ~ k~vlpxk~panhnto/c nil t~ovxaot @mtavkncnd ~ D|tknebt t~ehpaol ~ Omtd|cnenzmxnae ~  Moleappklm ~ Xp|edmc a`ltnx~ ~ K~vlpxletnae ~ Atxlavapatnt ~ Vac~d~xklonm Dkpaoavka`nd +dm|tlt k~vavnx|nxmpn to. ~ A`ltnx~ ~ Taoeaclex ~ Gnel tdmex~ kmnp ~ Hp~ tagx tine ~ Vmtx~ daovcl{nae ~ Tomcc `aelt ~ Klmhmdklt# catt ag cn`nha# wnt|mc hlgldxt +om~ clmh xa `cneheltt. ~ Axklpt: vac~|pnm# vac~vkmbnm# car @OP# t|`eapomc `ah~ xlovlpmx|pl Hnmbeatxndt: ~ Vk~tndmc l{monemxnae ~ DX meh OPN ~ Tlp|o clwlct ag vnx|nxmp~ kapoaelt meh lehadpnel apbme kapoaelt Olhndmc: ~ K~vavk~tldxao~ ~ Pmhnmxnae xklpmv~ txlplaxmdxnd ap daewlexnaemc ~ @paoadpnvxnel havmonel mexmbaentx ~ Adxplaxnhl t~exklxnd memcab ag BK ~ Plvcmdlolex xklpmv~ dapxndatxlpanht meh xk~panh kapoael E|ptneb: ~ Vatxavlpmxnwl dmpl ~ Xlmdkneb vmxnlext gap caeb xlpo omemblolex meh olhndmxnae xklpmv~ Hnm`lxlt Netnvnh|t ~ Vatxlpnap vnx|nxmp~ bcmeh hntaphlp dkmpmdxlpnzlh `~ m hlgndnled~ ag  MHK +wmtavplttne. ~ Vac~|pnm ~ Rmxlp/cnil |pnel +tvb ? =%66=/=%66<. ~ +/. m`eapomc t|`txmedl ne |pnel cnil bc|datl meh mc`|one ~ Nexletl xknptx gap dach rmxlp ~ Vac~hnvtnm +0/06 C!hm~. ~ Aetlx: `npxk +ng klplhnxmp~. ap m`p|vx +ng mh|cx. ~ Gc|nh pltxpndxnae om~ plt|cx xa k~vaemxplonm meh tlwlpl hlk~hpmxnae Hnmbeatxndt: ~ Gc|nh hlvpnwmxnae xltx +;/=0 ka|pt ag ea GN ap |exnc 4,/<, ag @R nt catx. a Gpl}|lex rlnbkneb a Tlp|o!|pnel at oacmcnx~ lwmc|mxnae mx `lbneeneb meh leh a Gpl}|lex oaenxapneb a +). xmdk~dmphnm# l{dlttnwl rlnbkx catt# k~vaxletnae ~  MHK clwlc oaenxapneb Olhndmc:

Transcript of MSN Endocrine Disorders

Page 1: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 1/7

CCMELPM# Hmenlc Ilwne V%

@TE NNN 7 PCL 0

Opt% Parlem Ltda

Tl

T\OOMP^: Dmpl ag Vmxnlext rnxk Lehadpnel Hntaphlpt

Hntlmtl Daehnxnae meh Omne Vpa`clo Tnbet meh T~ovxaot OmemblolexVnx|nxmp~ X|oapt

~  me m`eapomc bparxk ne xkl vnx|nxmp~ bcmeh xk|t xklnem`ncnx~ ag xkl `ah~ xa plb|cmxl nxt `mcmedl ag kapoaelt

Latneavkncnd~  lmpc~ bnbmexnto +om~`l 2 gx.~  clxkmpbnd meh rlmi~  mdpaolbmc~ +ne mh|cx aetlx.~  tlwlpl klmhmdklt meh wnt|mc hntx|p`medlt~  hldmcdngndmxnae ag `aelt~  o|td|cmp rlmieltt~  k~vlpxk~panhnto/cnil t~ovxaot

@mtavkncnd~  D|tknebt t~ehpaol~  Omtd|cnenzmxnae~   Moleappklm~  Xp|edmc a`ltnx~~  K~vlpxletnae~  Atxlavapatnt~  Vac~d~xklonm

Dkpaoavka`nd +dm|tlt k~vavnx|nxmpnto.~  A`ltnx~~  Taoeaclex ~  Gnel tdmex~ kmnp~  Hp~ tagx tine~  Vmtx~ daovcl{nae~  Tomcc `aelt~  Klmhmdklt# catt ag cn`nha# wnt|mc hlgldxt +om~ clmh xa

`cneheltt.~  Axklpt: vac~|pnm# vac~vkmbnm# car @OP# t|`eapomc ̀ ah~

xlovlpmx|pl

Hnmbeatxndt:~  Vk~tndmc l{monemxnae~  DX meh OPN ~  Tlp|o clwlct ag vnx|nxmp~ kapo

apbme kapoaeltOlhndmc:

~  K~vavk~tldxao~~  Pmhnmxnae xklpmv~ txlplaxmdx

~  @paoadpnvxnel havmonel mexm~  Adxplaxnhl t~exklxnd memcab a~  Plvcmdlolex xklpmv~ dapxnda

kapoaelE|ptneb:

~  Vatxavlpmxnwl dmpl~  Xlmdkneb vmxnlext gap caeb xlpo

olhndmxnae xklpmv~

Hnm`lxlt Netnvnh|t~  Vatxlpnap vnx|nxmp~ bcmeh hntaphlp dkmpmdxlpnzlh `~ m

hlgndnled~ ag  MHK +wmtavplttne.

~  Vac~|pnm~  Rmxlp/cnil |pnel +tvb ? =%66=/=%66<.~  +/. m`eapomc t|`txmedl ne |pnel cnil bc|datl meh mc`|one~  Nexletl xknptx gap dach rmxlp~  Vac~hnvtnm +0/06 C!hm~.~  Aetlx: `npxk +ng klplhnxmp~. ap m`p|vx +ng mh|cx.~  Gc|nh pltxpndxnae om~ plt|cx xa k~vaemxplonm meh tlwlpl

hlk~hpmxnae

Hnmbeatxndt:~  Gc|nh hlvpnwmxnae xltx +;/=0 ka

4,/<, ag @R nt catx.a  Gpl}|lex rlnbkneba  Tlp|o!|pnel atoacmcnx~

`lbneeneb meh leha  Gpl}|lex oaenxapneba  +). xmdk~dmphnm# l{d

k~vaxletnae~   MHK clwlc oaenxapneb

Olhndmc:

Page 2: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 2/7

~  BAMCT:a  Xa plvcmdl  MHK caeba  Xa let|pl mhl}|mxl gc|a  Xa nhlexng~ meh dappldx

nexpmdpmenmc vmxkacab~

~  Hltoavplttne +HH MWV. t~exka  Nexpmemtmc# =/0!hm~a  Dm|xnae ne DMH vmxnlex

~  NO  MHK !wmtavplttne xmemxla  Lwlp~ 08/>7 ka|pta  Rmpolh meh tkmile `a  KT a  Paxmxl tnxl xa vplwlex

~  Dcagn`pmxl + Mxpaonh/T9 k~vacnvn

mexnhn|plxnd lggldx ~  Dkcapvpavmonhl +Hnm`neltl. me

vaxlexnmxl  MHK mdxnaeE|ptneb:

~  Gaccar |v dmpl meh lolpbled~meh rpnxxle netxp|dxnaet ae vkm

~  Plx|pe hloaetxpmxnaet gap plcmhp|b mhonentxpmxnaet

~  Vpawnhl negapomxnae plbmphneb

k~vaemxplonm~   Mhwntl rlmpneb m olhndmc NH m

meh negapomxnae m`a|x HN mx mc

T~ehpaol ag Nemvvpavpnmxl MHK ~  L{dlttnwl  MHK tldplxnae gpao VVB lwle ne xkl gmdl

ag t|`eapomc tlp|o atoacmcnx~

~  K~vaemxplonm~  Daeg|tnae~  Em|tlm~   Mcxlplh oaah~  Tlnz|plt~  Catt ag daetdna|teltt

Olhndmc:~  Xplmxolex ag |ehlpc~neb dm|tl~  Pltxpndx gc|nh nexmil~  G|patlonhl

E|ptneb:~  Txpndi N !A oaenxapneb~  Hmnc~ rlnbkx# |pnel# `caah dklo

txmx|t oaenxapneb~  T|vvapxnwl olmt|plt meh l{vcm

meh xplmxolext

K~vaxk~panhnto~  T|`avxnomc clwlct ag xk~panh kapoaelt

~  Gmxnb|l~  Rlmieltt~  Rlnbkx bmne ap

nedplmtlh hnggnd|cx~catneb rlnbkx 

~  Damptl# hp~ kmnp~  Hp~# pa|bk vmcl tine~  @pnxxcl emnct

~  Nemhl}|mxl wlexncmxnae mehtcllv mvelm

~  Vcl|pmc meh vlpndmphnmclgg|tnae

~  Pltvnpmxap~ o|td|cmphlvplttnae

~  K~vlpdkacltxlpaclonm~   Mxklpatdclpatnt

Olhndmc:~  T~exklxnd clwaxk~pa{nol +T~exk~  Vplwlexnae ag dmphnmd h~tg|edxn~  Vplwlexnae ag olhndmxnae nexlpm

k~vabc~dlond mblext# hnba{ne# nehaolxkmdne# vkle~xane# xpnd~dmcdn|o

~   M@B oaenxapneb

Page 3: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 3/7

~  vmpmltxkltnm~  Kmnp catt~  Dach nexaclpmedl~  O|tdcl dpmovt meh

gpl}|lex o|tdcl

mdklt~  Daetxnvmxnae~  Hlvplttnae~  Nppnxm`ncnx~~  Oloap~ catt~   M`eapomc oletxp|mc

d~dclt

~  DMH~  Clgx DKG ~  O~{lhlom daom

k~vlpxklpond meh|edaetdna|t

~  Tletnxnwnx~ xa memcbltndt#tlhmxnwlt meh meltxklxndmblext

~  Hldplmtlh cn`nha~  Vlptaemcnx~ meh dabenxnwl

dkmpmdxlpntxndt ag hlolexnm

~  Oldk Wle~  V|ctl a{nolxp~~  Dapxndatxlpanh xklpmv~

E|ptneb:~   Mdxnwnx~ nexaclpmedl

a  Vpavlp tvmdneb ag mdxnwa   Mttntx rkle gmxnb|lha  Vpawnhl txno|cmxnae xkp

mdxnwnxnlta  Oaenxap pltvaetl xa ne

~  Pnti gap no`mcmedlh `ah~ xlova  Vpawnhl l{xpm cm~lp ag da   Mwanh |tl ag l{xlpemc ka  Oaenxap `ah~ xlovlpmx

a  Vpaxldx gpao l{vat|pl~  Daetxnvmxnae

a  Knbk gn`lp9 nedplmtl gc|pltxpndxnae

a  Leda|pmbl l{lpdntl~  I earclhbl hlgndnx ~  Nelggldxnwl `plmxkneb vmxxlpe pl

wlexncmxnaea  Oaenxap pltvnpmxnae

a  Leda|pmbl H@DLa  T|dxnae mt ellhlh

~  O~{lhlom meh daoma  Oaenxap BDT ! WT gpl}|la  X|pe meh plvatnxnae mxa   Mwanh DET hlvplttmext

K~vlpxk~panhnto~  L{dlttnwl a|xv|x ag xk~panh kapoaelt

~  Vmcvnxmxnaet~  Klmx nexaclpmedl~  Elpwa|teltt~  Netaoenm~  @plmxkcltteltt~  Nedplmtlh ̀ arlc oawlolext~  Cnbkx ap m`tlex oletxp|mc vlpnaht~  Gmxnb|l~  Gmtx klmpx pmxl~  Xplo`cneb kmeht~  Rlnbkx catt~  O|tdcl rlmieltt~  Rmpo oantx tine~  Kmnp catt~  Txmpneb bmzl

Olhndmc:~  Nppmhnmxnae rnxk pmhnantaxavl na

 MP: xk~panh txapot dmphnmd h

el|pacabnd novmnpolex 9 xplmx r~   Mexnxk~panh olhndmxnaet vpav

olxknomzacl +Xmvmzacl.~  Xk~panhldxao~

E|ptneb:~  Omnexmne m dmco# daac lewnpaeo~  E|ptl tka|ch `l dmco ' |ep|tk~  Vpadlh|plt tka|ch `l hael tca~   Mwanh: |vtlxxneb wntnxapt ' xavn~  ]|nlx paaoomxl~  Vpaoaxl tmglx~ / vpael xa mddn~  L~l dmpl/ mpxngndnmc xlmpt# KA@ l

Page 4: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 4/7

bcmttlt#ng |em`cl xa dcatl vpaxl~  Hnlx/ nedplmtlh dmcapnlt# vpaxln

onelpmct~   Mwanh txno|cmext/dmgglnel# tvndl

 Md|xl Xk~panhnxnt

~  Negldxnae ag xkl xk~panh bcmeh9 oatx daooae: T%m|pl|t

~   Mexlpnap eldi vmne meh trlccneb

~  Glwlp~  H~tvkmbnm~  H~tvkaenm~  Vkmp~ebnxnt ap vkmp~eblmc vmne

~   MX@

~  Gc|nh plvcmdlolex ~  T|pbndmc nedntnae meh hpmnembl

T|`md|xl bpme|caomxa|t xk~panhnxnt +hl ]|lpwmnetxk~panhnxnt.

~  Negcmoomxnae ag xkl xk~panh bcmeh9 raole ag 86/<6~lmpt ach knbk pnti9 wnpmc da{tmdinlwnp|t bpa|v M meh @ meh ldkawnp|t

~  O~mcbnmt~  Vkmp~ebnxnt~  Car/bpmhl glwlp~  Gmxnb|l~  Vmneg|c trlccneb ag mexlpnap eldi cmtxt =/0 oaexkt

~  H~tvkmbnm~  Nppnxm`ncnx~# elpwa|teltt meh netaoenm~  Rlnbkx catt~  dkncct

~  ETMNHT ~  Ea  MTM ~  @lxm/`cadilpt xa daexpac k~vlpx~  Txlpanht

T|`md|xl c~ovkad~xnd xk~panhnxnt +vmnecltt ap tnclex xk~panhnxnt.

~  Negcmoomxnae ag xk~panh bcmeh9 agxle ne vatxvmpx|ovlpnah9 m|xanoo|el

~  K~va!k~vlpxk~panhnto t~ovxaot ~  T~ovxaomxnd xplmxolex 

Dkpaend xk~panhnxnt +Kmtknoaxat Hntlmtl.~  Negcmoomxnae ag xkl xk~panh bcmeh9 daooae ne 46/<6

~lmp ach raole

~  Eapomc xa car xk~panh mdxnwnx~~  T~ovxaot ag k~vaxk~panhnto ng clgx |explmxlh

~  Xk~panh kapoael xklpmv~~  T|pblp~ ng vpltt|pl t~ovxaot

Lehlond banxlp +npae/hlgndnlex.~  Dm|tlh `~ nahnel hlgndnled~ ap daet|ovxnae ag cmpbl

}|mexnxnlt ag banxpablend t|`txmedlt~  K~vlpxpavk~ ag xkl xk~panh bcmeh dm|tlh `~

txno|cmxnae ag xkl vnx|nxmp~ bcmeh~  Nedplmtlh tldplxnae ag XTK 

~  K~vlpxk~panhnto t~ovxaot ~  T|vvclolexmp~ nahnel TTI N ~  xk~panhldxao~

Eah|cmp Banxlp~  k~vlpvcmtnm ag mplmt ag xkl xk~panh bcmeh

~  ea tvldngnd t~ovxaot `|x vpltt|pl t~ovxaot om~ add|p ~  t|pblp~

Xk~panh Dmedlp~  omcnbemed~ ag xk~panh x|oapt!eah|clt

~  Vpa`clot rnxk trmccarneb~  Kamptleltt~  Lecmpblh c~ovk eahlt ne xkl eldi~  @plmxkneb hnggnd|cx~~  Vmne ne xkl xkpamx meh!ap eldi~  Cltnaet xkmx mpl tnebcl# kmph meh gn{lh ae vmcvmxnae

Olhndmc:~  Xaxmc ap elmp xaxmc xk~panhldxao~  Pmhnamdxnwl nahnel xklpmv~~  Kapoael xklpmv~ +vatxav.~  L{xlpemc pmhnmxnae xklpmv~~  Dkloaxklpmv~

E|ptneb:~ 

Hnlx/ nedplmtlh dmcapnlt# vpaxlnonelpmct~   Mwanh txno|cmext / dmgglnel# tvn

Page 5: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 5/7

Page 6: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 6/7

Page 7: MSN Endocrine Disorders

8/8/2019 MSN Endocrine Disorders

http://slidepdf.com/reader/full/msn-endocrine-disorders 7/7

~  Vac~hnvtnm~  K~vadmclonm meh k~vlpbc~dlonm pnti

E|ptneb:~  Oaenxap gap tnbet ag mhpleadap

dpntnt meh kmloappkmbl

Hnm`lxlt Olccnx|t~   M bpa|v ag olxm`acnd hntlmtlt dkmpmdxlpnzlh `~

k~vlpbc~dlonm plt|cxneb gpao hlgldxt ne ne|tcnetldplxnae# net|cne mdxnae ap `axk~  X~vl = +NHHO.# X~vl 0 +ENHHO.# Bltxmxnaemc

~  Vac~|pnm~  Vac~hnvtnm~  Vac~vkmbnm~  Rlmieltt~  T|hhle wntnae dkmeblt~  Vmpltxkltnm ag kmeht meh gllx ~  Hp~ tine~  Tcar klmcneb~  Pld|pplex negldxnae~  T|hhle rlnbkx catt~  e!w

~  m`haonemc vmne

Olhndmc:~  Net|cne xklpmv~~  Apmc k~vabc~dlond mblext~  Olhndmc e|xpnxnae xklpmv~~  Vpmocnexnhl~  L{lemxnhl

E|ptneb:~  Vpawnhneb lh|dmxnae xa vmxnlex ~  Oaenxap gap tnbet ag k~va!k~vl

ilxamdnhatnt meh k~vlpbc~dloneaeilxaxnd t~ehpaol +KKET.

~  Vplwlexnae ag caeb xlpo daovc