Incidence of antithyroid peroxidase antibodies in women who are euthyroid; in those with isolated maternal hypothyroxinemia (IMH), defined by a normal.

Slides:



Advertisements
Similar presentations
HYPOTHYROIDISM. INTRODUCTION  Hypothyroidism is defined as a deficiency in thyroid hormone secretion and action that produces a variety of clinical signs.
Advertisements

1 Subclinical thyroid dysfunction and blood pressure: a community-based study John P. Walsh, Alexandra P. Bremner, Max K. Bulsara‡, Peter O’Leary, Peter.
Date of download: 6/25/2016 Copyright © 2016 American Medical Association. All rights reserved. From: The Colorado Thyroid Disease Prevalence Study Arch.
Hypothyroidism. A. Primary hypothyroidism results from failure of the thyroid gland and causes low plasma thyroid hormone levels. There is loss of negative.
One suggested algorithm for evaluation of a woman with a suspected ectopic pregnancy. aExpectant management, D&C, or medical regimens are suitable options.
Assembly of a pelvic pressure pack to control hemorrhage
****Suppression of the serum TSH with levothyroxine has been shown to be of more benefit in patients with higher stages of disease. In older patients with.
NORMAL LOW T3 LOW T3-T4 LOW T3 NORMAL
Corneal filaments in a 56-year-old patient with dry eye syndrome.
(Adapted, with permission, from Fagin JA
Retinal photographs from a 30-year-old diabetic woman. A
Retinal photographs from a 30-year-old diabetic woman. A
Hypothyroidism during pregnancy
Late decelerations due to uteroplacental insufficiency resulting from placental abruption. Immediate cesarean delivery was performed. Umbilical artery.
Insertion of the Mirena intrauterine system
Uterine artery ligation
The myometrium is incised carefully to avoid cutting the fetal head
Fetal abdominal dystocia at 28 weeks caused by an immensely distended bladder. Delivery was made possible by expression of fluid through a bladder perforation.
Management of Subclinical Hypothyroidism: The Thyroidologists’ View
Layered repair of a fourth-degree perineal laceration. A
1. First-degree perineal laceration: injury to only the vaginal epithelium or perineal skin. 2. Second-degree laceration: injury to perineum that spares.
A. Relationship between serum-free thyroxine by dialysis (FT4) ng/dL and log10 TSH in euthyroid, hyperthyroid, hypothyroid, and T4-suppressed euthyroid.
(From Beutler E, Meerkreebs G,705 with permission from the Massachusetts Medical Society.) Source: Chapter 42. Disorders of Iron Metabolism, Williams Hematology,
A. ST segment changes in normal and hypoxic conditions. B
Diurnal changes in plasma glucose and insulin in normal late pregnancy
Anencephaly/acrania. A. Acrania
Pyogenic granuloma is characterized grossly by a lobulated red growth on a pedunculated or sessile base. (Photograph contributed by Dr. Abel Moron.) Source:
Intrauterine devices (IUDs). A. ParaGard T 380A copper IUD. B
Child marriage and maternal mortality: maternal mortality by age.10
M-mode, or motion mode, is a linear display of the events of the cardiac cycle, with time on the x-axis and motion on the y-axis. M-mode is used commonly.
Fig. 1. Correlation of TSH with TC, LDL-C, HDL-C, and TG.
Pathways of labor pain. Pain stimuli from the cervix and uterus travel through the paracervical region and the pelvic and hypogastric plexus to enter the.
Schematic representation of the hypothesized pathway between maternal or intrauterine infection and preterm birth or periventricular leukomalacia. Both.
Nexplanon insertion. A sterile pen marks the insertion site, which is 8 to 10 cm proximal to the medial humeral condyle. A second mark is placed 4 cm proximally.
Evaluation of hypothyroidism
Evaluation of hypothyroidism
425: Parity in relation to antithyroid peroxidase antibodies
(A) ECG showing sinus tachycardia with the rate of 123 bpm
Manual removal of placenta. A. One hand grasps the fundus
Manual removal of placenta. A
Peritoneal incision overlying the sacrum.
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Basal and peak serum thyrotropin (TSH) concentrations following intravenous administration of 500 μg thyrotropin-releasing factor (TRF) to subjects with.
Hypothalamic–pituitary–target-organ axis
Changes in the ovarian follicle, endometrial thickness, and serum hormone levels during a 28-day menstrual cycle. P, progesterone; E2, estradiol; LH, luteinizing.
Dilatation of cervix with a Hegar dilator
Neuraxial analgesia. A. Combined spinal-epidural analgesia. B
A 7.8-year-old boy who was diagnosed with hypothyroidism by a dermatologist who was seeing him for eczema. His only other complaint was constipation. TSH.
Synthesis of thyroid hormone and pathophysiology of medical management
Factores clave que regulan al parecer las fases del parto
Abdominal CT imaging performed postpartum in a woman with severe HELLP syndrome and right-upper quadrant pain. A large subcapsular hematoma (asterisk)
Increased glomerular filtration rate in early pregnancy in normal women, those stable after unilateral nephrectomy, and those with a successful renal transplant.
Chart for estimating body mass index (BMI)
Necrotic hysterotomy infection
Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. After engagement, further descent. C. Descent and initial.
Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. Posterior asynclitism at the pelvic brim followed by lateral.
FC female condom insertion and positioning. A
(Copyright © 1977 American Diabetes Association. Marliss EB et al
Transient hypothyroidism in 1-month-old boy born at 36 weeks and weighing 2440 g. Neonatal screening revealed abnormally high thyroid stimulating hormone.
Hypothalamic-pituitary-thyroid axis
Two umbilical arteries are typically documented sonographically in the second trimester. They encircle the fetal bladder (asterisk) as extensions of the.
Figure 2 Serum levels of TSH and free T4 in a large series
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Is subclinical hypothyroidism associated with lower live birth rates in women who have experienced unexplained recurrent miscarriage?  Myrthe M. van Dijk,
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Femelife Fertility Thyroid and Fertility Femelife Fertility
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
HYPOTHYROIDISM.
Presentation transcript:

Incidence of antithyroid peroxidase antibodies in women who are euthyroid; in those with isolated maternal hypothyroxinemia (IMH), defined by a normal serum thyroid-stimulating hormone (TSH) value and serum free thyroxine (T4) level < 0.86 ng/dL; in those with subclinical hypothyroidism (SH), defined as serum TSH value ≥ 3.0 mU/L with a normal reference range serum free T4 level; and in those with overt hypothyroidism defined by an abnormally high serum TSH value with an abnormally low serum free T4 level. (Data from Casey and associates, 2007.) Source: Chapter 53. Thyroid and Other Endocrine Disorders, Williams Obstetrics, 23e Citation: Cunningham F, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics, 23e; 2010 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/cunn23/cunn23_c053f002.gif&sec=41690997&BookID=350&ChapterSecID=41680623&imagename= Accessed: October 23, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved