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    Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook119 pages52 minutes

    Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    This book describes Silent Thyroiditis, Diagnosis and Treatment and Related Diseases

    Recently I have a female patient who has enlarged thyroid but no other symptoms.
    Her blood thyroid hormones (T3 and T4) were normal but her thyroid-stimulating hormone (TSH) is increased.
    Her Thyroid auto-antibodies were very high indicating an autoimmune disease.
    Her Erythrocyte sedimentation rate was normal indicating inflammation is low; however this test may be normal in the early stages of the disease.
    Her Thyroid peroxidase (TPO) is normal.
    It is an enzyme made by the thyroid and high levels normally indicate the presence of Hashimoto thyroiditis, an autoimmune disease.
    Hashimoto thyroiditis is the most common cause of autoimmune thyroid disease other than Graves’s hyperthyroidism.
    The thyroid gland uses TPO along with iodine to generate the thyroid hormones triiodothyronine (T3) and thyroxine (T4).
    Further investigations include ultrasound of the thyroid and biopsy of the thyroid to find the cause of the disease.
    However the patient had refused these tests and will be followed by an endocrinologist specializing in thyroid conditions.

    Silent thyroiditis is a form of inflammation of the thyroid gland, sited in the neck.

    Silent thyroiditis is due to an immune response of the thyroid gland.

    The disorder can produce hyperthyroidism, followed by hypothyroidism.

    The thyroid gland is present in the neck, above where the collarbones meet in the middle.

    Alternative Names
    Sub-acute lymphocytic thyroiditis; Sub-acute granulomatous thyroiditis; Painless thyroiditis; Postpartum thyroiditis;

    It is often a short-term disorder but can be distressing for the patient.

    Signs involve symptoms and thyroid blood test results that show swinging between both hypothyroidism and hyperthyroidism.

    The term ‘silent’ indicates to the absence of tenderness of the thyroid gland, in contrast with sub-acute thyroiditis, which normally produces tenderness or pain.

    While the autoimmune thyroid disease Hashimoto’s Thyroiditis can apparently produce thyroid hormone levels to move up and down and even swing between hypo and hyperthyroidism, Silent Thyroiditis is normally short-lived, compared to the lifelong disorder of Hashimoto’s.

    Those with silent thyroiditis normally go through a stage of thyrotoxicosis (excessive thyroid hormone – hyperthyroidism) for a brief period of one to three months, before a longer hypothyroid phase, which normally lasts around six months.

    The precise cause of this disorder is not known.

    But it is linked to an attack against the thyroid by the immune system.

    The disease involves women more often than men.

    The disease can also happen in women who have just had a baby (postpartum).

    It can also be induced by medicines such as interferon and amiodarone, and some types of chemotherapy, which have an effect on the immune system.

    It is theorized that silent thyroiditis could be an autoimmune disorder in its own right.

    Silent Thyroiditis normally indicates no symptoms but there may be an enlarged thyroid.

    The earliest symptoms happen from an overactive thyroid gland (hyperthyroidism).

    These symptoms may persist for up to 3 months.

    Symptoms are often mild, and may be:
    1. Fatigue
    2. Tremors
    3. Over-sensitivity to heat

    Later symptoms may be more of an under active thyroid (hypothyroidism), such as:
    1. Weak
    2. Constipation
    3. Dry skin

    Thyroid function tests gauge the quantities of hormones (thyroid-stimulating hormone or TSH, T3, and T4) in the blood.

    TSH secretes from the pituitary gland and stimulates the thyroid gland to produce T4 and T3.

    Thyroid antibody tests involve thyroid peroxidase antibodies and thyroid auto-antibodies
    TABLE OF CONTENT
    Introduction
    Chapter 1 Silent Thyroiditis
    Chapter 2 Causes
    Chapter 3 Symptoms

    LanguageEnglish
    PublisherKenneth Kee
    Release dateDec 16, 2020
    Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Silent Thyroiditis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Silent Thyroiditis,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2020 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Silent Thyroiditis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

      (What You Need to Treat Silent Thyroiditis)

      This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      My diagnosis and treatment capability has improved tremendously from my continued education.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Silent thyroiditis

      Recently I have a female patient who has enlarged thyroid but no other symptoms.

      Her blood thyroid hormones (T3 and T4) were normal but her thyroid-stimulating hormone (TSH) is increased.

      Her Thyroid auto-antibodies were very high indicating an autoimmune disease.

      Her Erythrocyte sedimentation rate was normal indicating inflammation is low; however this test may be normal in the early stages of the disease.

      Her Thyroid peroxidase (TPO) is normal.

      It is an enzyme made by the thyroid and high levels normally indicate the presence of Hashimoto thyroiditis, an autoimmune disease.

      Hashimoto thyroiditis is the most common cause of autoimmune thyroid disease other than Graves’s hyperthyroidism.

      The thyroid gland uses TPO along with iodine to generate the thyroid hormones triiodothyronine (T3) and thyroxine (T4).

      Further investigations include ultrasound of the thyroid and biopsy of the thyroid to find the cause of the disease.

      However the patient had refused these tests and will be followed by an endocrinologist specializing in thyroid conditions.

      Silent thyroiditis is a form of inflammation of the thyroid gland, sited in the neck.

      Silent thyroiditis is due to an immune response of the thyroid gland.

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