Advanced Scientist

Paralysis and Heart Attack caused by a withal ample carbohydrate and fat meal M Chang1, S Vilarinho2, MD Siegel3 1  incision of Medicine, Cardiology Section, Dredsen-Berlin University groom of Medicine, Germany 2  incision of Medicine, Digestive Diseases Section, Yale University School of Medicine, New Haven, CT, regular army 3 Department of Medicine, Pulmonary and Critical mission Section, Yale University School of Medicine, New Haven, CT, USA A 24-year-old Caucasian gentleman recently diagnosed with Graves Disease presented to the extremity department (ED) complaining of sudden upper berth and cast down extremities paralysis and Heart pumping diseases. This episode coincided with the ingestion of a gravid carbohydrate and fat meal on the wickedness before. In the ED, the tolerants vital signs were within normal limits except for fistulous diminish tachycardia at 140 beats per min. He was mildly sudorific with mild left eye proptosis. There was no goiter. glance over work revealed a thou concentration of 2.2 mmol/L, phosphorus 1.6 mg/dL, thyroid-stimulating hormone less than 0.04 uU/mL, and elevated score T4, free T4 and center T3 at 12.2 mcg/dL, 2.7 ng/dL and 266 ng/dL, respectively. The unhurried role received 1.5 liters of normal saline, 2 mg of propranolol intravenously and 60 mEq of KCl with rapid improvement in sinew-builder strength.

The potassium level increased from 2.2 to 4.7 mmol/L. After 24 h of observation, he was discharged home on methimazole 10 mg in two ways a day and long propranolol 120 mg daily, and was cautioned to invalidate strenuous activity and large carbohydrate meals. Three months later, the patient unde rwent elective thyroidectomy and pathology a! nalysis showed a diffusely hyperplastic thyroid secretor with extensive papillary hyperplasia accordant with treated Graves Disease. This gentleman suffered from thyrotoxic periodic paralysis (TPP), which is an whimsical complication of thyrotoxicosis characterized by acute and reversible episodes of muscle weakness secondary to gruelling acute...If you want to get a full essay, order it on our website: OrderEssay.net

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