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Hung up reflexes hypothyroidism treatment: Hung-up Knee Jerk Reflex

In thyrotoxic males and females the half relaxation time was

Matthew Cox
Sunday, November 1, 2020
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  • Posted in General. Physical examination findings were significant for puffiness around the eyes, decreased breath sounds at the lung bases, and distended abdomen with free fluid, hung-up reflexes, and cold extremities.

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She had no history of illness, and she was not hypothyroidism treatment any medication. A year-old woman presented to hospital with a 2-month history of facial puffiness, constipation, hoarse voice, fatigue and cold intolerance. We conclude that ascites associated with hypothyroidism is rare but must be recognized early, since thyroid replacement is the definitive therapy. She had a history of papillary thyroid cancer for which she underwent thyroidectomy. Severe hypothyroidism is rarely seen in clinical practice in the developed world because of the widespread availability of thyroid-stimulating hormone and assays to detect thyroid hormone.

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Performance performance. Year : Volume : 51 Issue : 4 Page : Myxedema coma is defined as severe hypothyroidism resulting in a decompensated metabolic state and mental status change. Video showing the Woltman sign in the bicep tendon of a year-old woman. In[5] William Calvert Chaney —[6] who worked under Henry Woltman at the Mayo Clinic, seems to have been the first to publish a description of the sign, but Woltman had no authorship and was not mentioned in Chaney's manuscript. She is alert and oriented x 1, and her neck reveals a well-healed midline anterior neck scar. Categories: General.

Performance performance. One comment Ann. Thank you for this history! Hidden categories: Articles with short description Short description matches Wikidata. Medical condition.

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Hung up reflex -Clinical significance. Toggle navigation. May 6,am.

MEDizzy Journal. A year-old African-American man presented with increasing weakness, shortness of breath, weight gain, constipation, and abdominal distention. Follow by Email. The patient required therapeutic abdominal paracentesis twice, with 4 L each time, to relieve the symptoms.

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Amongst the hypothyroid male and female patients the half relaxation time was December 29, That is there is slowness of the relaxation phase of deep tendon reflexes. Follow by Email. Symptomatic ascites as a presenting symptom of hypothyroidism is quite rare.

Skip to content. Sign in. MEDizzy Journal serves the global medical community with the latest news, medical cases, images, videos, stories, and thought-provoking articles. The thyroid-stimulating hormone level at the time was 64 with a free T4 less than 0.

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  • Amongst the hypothyroid male and female patients the half relaxation time was

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  • Status epilepticus caused by a myxoedema coma.

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In case of sale hung up reflexes hypothyroidism treatment your personal information, you may opt out by using the link Do not sell my personal information. Posted in General. In a series of patients referred to the Shepherd Foundation Centre, the Achilles tendon reflex greatment relaxation time was measured by means of the SMI Reflexometer and a comparison was made in each case with a laboratory estimation of the T3 resin uptake and T4 total thyroxine iodine and the Free Thyroxine Index FTI. Classical signs of hypothyroidism were present only in patients with severe overt hypothyroidism with low T3, but were rare or absent in patients with normal T3 but low free T4 or in patients with SCH normal thyroid hormones but elevated basal TSH; mean scores, 7.

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Undefined cookies are those that are being analyzed and have not been classified into a category as yet. This patient is exhibiting signs and symptoms consistent with myxedema coma. For further evaluation, a magnetic resonance imaging of the head was performed, which showed atrophy of the caudate nuclei. Featured Articles. Medicina Clinica. Leave a Reply Cancel reply Your email address will not be published. Clinical and laboratory findings revealed subclinical types of the diffuse toxic goiter, hypothyrosis, chronic thyroiditis, endemic goiter, nodular goiter, pubertal struma and sporadic euthyroid goiter.

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Typical findings on physical examination include dry coarse skin, periorbital and pedal edema, bradycardia, thin hair and pleural effusions. Previous article. Kamath B ed. Sweat Power! Delays in relaxation time in patients with hypothyroidism appears to be proportional to the level of thyroid-hormone deficiency.

Please enter your comment! Management and Disposition of Adult May 6,am. Acta Endocrinologica. This patient is exhibiting signs and symptoms consistent with myxedema coma. Stay in touch with the conversation, subscribe to the RSS feed for comments on this post.

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The aim of the study was to define the diagnostic importance of reflexometry in subclinical disorders of thyroid function and to assess the relationships between metabolic derangements and the duration of the Achilles reflex. Case study of tetanus in an unvaccinated child. Notify me of new posts by email. These cookies will be stored in your browser only with your consent. Which of the following laboratory abnormalities is often associated with this diagnosis? Aust Fam Physician. A year-old woman presented to the neurology clinic with gait that had worsened over the course of 2 years.

Previous article. Articles Current Issue Ahead of print. This sign is invaluable as a clinical test for confirming the diagnosis in a case of suspected myxedema; or, as often happens in practice, the recognition of slow relaxation of reflexes may initiate the suspicion of myxedema in the first place. Medicina Clinica.

Amiodarone induced myxedema coma: Two case reports and literature review. Forgot your password? Pelvic Ultrasound: Indications, Lim Aust Fam Physician.

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Trail sign is the prominence of sternal head of Sternomastoid treattment to the shift of trachea to the same side Pleuropulmonary disease with Password recovery. You have entered an incorrect email address! As all these values were statistically significant, we consider the photomotographic measurement of ankle reflex as an important aid to the diagnosis of thyroid hormone imbalances.

Water, sodium, refllexes calcium are more slowly expelled by the hypothyroid muscle. Password recovery. She had a history of papillary thyroid cancer for which she underwent thyroidectomy. Things are bigger, possibilities are greater. Med Klin. New England Journal of Medicine7e Reference is made to a survey conducted among referring doctors where opinions were sought as to the clinical usefulness of different tests including the Achilles tendon reflex time measurement.

Password recovery. Close Privacy Overview This hypothyoidism uses cookies to improve your experience while you navigate through the website. An year-old woman with a long-standing history of hypothyroidism presents to the ED with confusion and lethargy. It undoubtedly has an important effect on both perception and responses. Uncategorized uncategorized. This sign is invaluable as a clinical test for confirming the diagnosis in a case of suspected myxedema; or, as often happens in practice, the recognition of slow relaxation of reflexes may initiate the suspicion of myxedema in the first place. Pingback: Quiz 35, May 17th

  • The eponym "Woltman's sign of myxedema" was first published in at the time of Woltman's retirement.

  • Forgot your password? What is the cause of radioradial and radiofemoral delay?

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For further evaluation, a magnetic resonance imaging of the head was performed, which showed atrophy of the caudate nuclei. July 15, It is commonly found in atrial fibrillation Toggle navigation. We conclude that ascites associated with hypothyroidism is rare but must be recognized early, since thyroid replacement is the definitive therapy. The inequality between two radial pulses is known as Rad Get help.

Annales de Readaptation et de Medecine Physique. Menu All Content. Proudly powered by WordPress and Carrington. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Year : Volume : 51 Issue : 4 Page :

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Symptoms of hypothyroidism include fatigue, cold intolerance, dyspnea, weight gain, constipation, hair loss, dry skin and menstrual hypothyroidism treatment. MEDizzy Journal serves the global medical community with the latest news, medical cases, images, videos, stories, and thought-provoking articles. Classical signs of hypothyroidism were present only in patients with severe overt hypothyroidism with low T3, but were rare or absent in patients with normal T3 but low free T4 or in patients with SCH normal thyroid hormones but elevated basal TSH; mean scores, 7. As all these values were statistically significant, we consider the photomotographic measurement of ankle reflex as an important aid to the diagnosis of thyroid hormone imbalances. Toggle navigation.

Mike Cadogan. She also developed hypothyroidism after the thyroidectomy. A year-old woman presented to the neurology clinic with gait that had worsened over the course of 2 years. Myxedema Coma.

Hung up reflex -Clinical significance. Skip to content. Definition of pulse deficit- it is treatemnt difference between the heart rate and the pulse rate. A year-old woman presented to the neurology clinic with gait that had worsened over the course of 2 years. Changes in the duration of the Achilles reflex were studied in subclinical disturbances of thyroid function.

In thyrotoxic males and females the half relaxation hypothyfoidism was The foot should plantar flex quickly and then return immediately to its starting position or beyond with no hesitation if the metabolism is healthy. The findings were consistent with the diagnosis of hung-up knee jerk. It is commonly found in atrial fibrillation

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The hypothyroid blood vessels are unable to relax properly, contributing to hypertension. The Achilles tendon reflex half relaxation time measurement ART has been used by many physicians both as a diagnostic test and for the assessment of progress in thyroid gland malfunction. Clinical significance. Toggle navigation. Donate to FPS.

In hypothyroidism both the contraction and the relaxation phases of the tendon reflex may be prolonged, which results in 'hung-up' reflexes. A correlation gypothyroidism established between the time of the Achilles reflex and the biochemical characteristics of thyroid function total thyroxin and triiodothyronine levels, thyroxin-binding capacity of the blood serum proteins, the basal TTH level in patients with grave and moderately expressed hypothyroidism. Normal situation radial and femoral pulsations are felt equally and synchronously. The hair grew in the eye!!

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Contact us: contact medizzy. Physical examination showed generalised deep-tendon hyperreflexia, irritability, disinhibition, mild dementia, protrusion, motor impersistence of the tongue and generalised chorea. What is meant by fall by crisis or lysis in fever? Goodman E. Get help. Clinical significance.

Kamath B ed. Assessment of euthyroid subjects and T4-treated patients revealed very similar results mean score, 1. J Postgrad Med [serial online] [cited Jul 16]; Thyroid and the Heart.

Her extremities are cool, and her skin exam reveals a doughy-like sensation with palpation over her tibias. Next article. New England Journal of Medicine7e Definitive therapy for patients with myxedema coma is with the administration of intravenous thyroxine.

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Toggle navigation. Past history was significant for coronary artery disease, diabetes, hypertension and history of radioiodine therapy for Graves disease 9 months prior to the presentation. Trail sign is the prominence of sternal head of Sternomastoid due to the shift of trachea to the same side Pleuropulmonary disease with

Changes in the duration of the Achilles reflex were studied in subclinical disturbances of thyroid function. It undoubtedly has an important effect on both perception and responses. Password recovery. Fever can subside in the following ways Crisis Elevated body temperature settles down to the baseline value immediately after starting The following abnormalities are noted in shape of chest Flat chest The ante

Proudly powered by WordPress and Carrington. Sudoku Seizures: Puzzle-solving causes seizures. Posted in General. J Neurol ; Articles Current Issue Ahead of print. Beside TSH and thyroid hormones, we measured parameters known to reflect tissue manifestations of hypothyroidism, such as ankle reflex relaxation time and total cholesterol.

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Members of MEDizzy Journal can receive notifications when new daily content is posted. The classical signs and symptoms of hypothyroidism were reevaluated in the light of the modern laboratory tests for thyroid function. December 14, Please enter your name here.

The following abnormalities are hypothyroidism treatment in shape of chest Flat chest The ante A correlation was established between the time of the Achilles reflex and the biochemical characteristics of thyroid function total thyroxin and triiodothyronine levels, thyroxin-binding capacity of the blood serum proteins, the basal TTH level in patients with grave and moderately expressed hypothyroidism. She had a history of papillary thyroid cancer for which she underwent thyroidectomy. In hypothyroidism both the contraction and the relaxation phases of the tendon reflex may be prolonged, which results in 'hung-up' reflexes. The hypothyroid blood vessels are unable to relax properly, contributing to hypertension.

You have entered an incorrect email address! Tagged with achilles tendon reflexbasalbiceps tendon reflexhypothyroidism treatment uphypothyroidismmetabolismmyxoedemaRay PeatreflexesthyroidTSHWoltman's Sign. Neither hyperkalemia B nor hypomagnesemia C are definitively associated with myxedema coma. Symptoms of hypothyroidism include fatigue, cold intolerance, dyspnea, weight gain, constipation, hair loss, dry skin and menstrual irregularities.

Physical examination showed generalised deep-tendon hyperreflexia, irritability, disinhibition, mild dementia, protrusion, motor impersistence of the tongue and generalised chorea. Please enter your comment! Get help. Evaluation of symptoms and signs of hypothyroidism with the new score in addition to thyroid function testing is very useful for the individual assessment of thyroid failure and the monitoring of treatment. Please enter your name here.

Members of MEDizzy Journal can receive notifications when new daily content is posted. The tap to half relaxation time of tendon achilles reflex was measured in thirty control subjects, forty-five thyrotoxic and sixty hypothyroid patients. A year-old African-American man presented with increasing weakness, shortness of breath, weight gain, constipation, and abdominal distention. Publication types Case Reports. A correlation was established between the time of the Achilles reflex and the biochemical characteristics of thyroid function total thyroxin and triiodothyronine levels, thyroxin-binding capacity of the blood serum proteins, the basal TTH level in patients with grave and moderately expressed hypothyroidism. It undoubtedly has an important effect on both perception and responses. She had a history of papillary thyroid cancer for which she underwent thyroidectomy.

MEDizzy Journal is founded on the belief that a network of education and insights will help improve patient outcomes and the lives of healthcare workers in every field while accelerating the global advancement of medicine. Usually in deep tendon reflex when a stimulus is given there is a reflex action takes place, but in hypothyroidism the limb returns slowly to its neutral position. Reference is made to a survey conducted among referring doctors where opinions were sought as to the clinical usefulness of different tests including the Achilles tendon reflex time measurement. Estimation of tissue hypothyroidism by a new clinical score: evaluation of patients with various grades of hypothyroidism and controls. Comparison of the results obtained with these two techniques in a group of 60 euthyroid subjects, 17 hypothyroid and 25 hyperthyroid cases, shows that the techniques are comparable as regards precision, reproducibility, and sensitivity and are of indubitable importance for the assessment of thyroid function through the study of two of its peripheral aspects. July 15, The Achilles tendon reflex half relaxation time measurement ART has been used by many physicians both as a diagnostic test and for the assessment of progress in thyroid gland malfunction.

Acta Endocrinologica. Please enter your comment! J Endocrinol Invest.

MEDizzy Journal. After initiation of thyroid hormone replacement, the patient responded hypothyroidisk well and the ascites resolved within 2 months. Goodman E. December 14, Delays in relaxation time in patients with hypothyroidism appears to be proportional to the level of thyroid-hormone deficiency. What is the cause of radioradial and radiofemoral delay? It undoubtedly has an important effect on both perception and responses.

Physical examination showed generalised deep-tendon hyperreflexia, irritability, disinhibition, mild dementia, protrusion, motor impersistence of the tongue and generalised chorea. Analytical cookies are used to understand how visitors interact with the website. Recognition depends on observing the marked slowing of relaxation, particularly easily observed in the biceps, quadriceps, gastrocnemius, and soleus reflexes. Next Post. Articles Current Issue Ahead of print.

What is meant hunt fall by crisis or lysis in fever? Ankle reflex photomotogram in thyroid dysfunctions. As sensitive blood assays become more widely available around the world, the Woltman sign is likely to become obsolete as a diagnostic tool. May 6,am. The clinical score was defined as the sum of the 2 best discriminating signs and symptoms.

Fever can subside in the following ways Crisis Elevated body temperature settles down to the baseline value immediately after starting We analyzed female subjects: hypothuroidism overt hypothyroid patients, 93 with subclinical hypothyroidism SCH67 hypothyroid patients treated with T4, and euthyroid subjects. That is there is slowness of the relaxation phase of deep tendon reflexes. The clinical score was defined as the sum of the 2 best discriminating signs and symptoms.

Substances Iodine Radioisotopes Thyroid Hormones. No response or a very slow refleexs back to original position are indicative of low metabolism. Assessment of euthyroid subjects and T4-treated patients revealed very similar results mean score, 1. The Achilles tendon reflex half relaxation time measurement ART has been used by many physicians both as a diagnostic test and for the assessment of progress in thyroid gland malfunction.

She had no history of illness, and she was not taking any medication. Forgot your password? Typical findings on physical examination include dry coarse skin, periorbital and pedal edema, bradycardia, thin hair and pleural effusions. We present a case of symptomatic ascites in a subject with hypothyroidism following radioiodine therapy for Graves disease. He was taking levothyroxine at 50 microg per day for 3 months prior to the presentation. Please enter your comment!

J Ayub Med Coll Abbottabad. About Us Privacy Terms Contact us. This correlation was retained during the substitution therapy: however, the reflex time recovery was retarded as compared to the degree of manifestation of the clinical symptoms and normalization of the biochemical parameters.

MEDizzy Journal is founded on the belief that a network of education and insights will help improve patient outcomes and the lives of healthcare workers in every field while accelerating the global advancement of medicine. The patient required therapeutic abdominal paracentesis twice, with 4 L each time, to relieve the symptoms. December 14, We conclude that ascites associated with hypothyroidism is rare but must be recognized early, since thyroid replacement is the definitive therapy.

Kaux, J. Necessary reflexes hypothyroidism treatment are absolutely essential for the website to function properly. Severe hypothyroidism is rarely seen in clinical practice in the developed world because of the widespread availability of thyroid-stimulating hormone and assays to detect thyroid hormone. Kamath B ed. MEDizzy Journal is founded on the belief that a network of education and insights will help improve patient outcomes and the lives of healthcare workers in every field while accelerating the global advancement of medicine. The delayed ankle jerks are associated with: [3] [4].

December 29, We conclude that ascites associated with hypothyroidism hypothyroiidism rare but must be recognized early, since thyroid replacement is the definitive therapy. In a series of patients referred to the Shepherd Foundation Centre, the Achilles tendon reflex half relaxation time was measured by means of the SMI Reflexometer and a comparison was made in each case with a laboratory estimation of the T3 resin uptake and T4 total thyroxine iodine and the Free Thyroxine Index FTI. December 6, MEDizzy Journal is founded on the belief that a network of education and insights will help improve patient outcomes and the lives of healthcare workers in every field while accelerating the global advancement of medicine.

Analysis of the ascitic fluid revealed an exudative effusion with a serum to ascitic fluid albumin gradient of 1. A year-old woman presented to hospital with a 2-month history of facial puffiness, constipation, hoarse voice, fatigue and cold intolerance. She also developed hypothyroidism after the thyroidectomy. Powered by Blogger.

July 15, MEDizzy Journal serves hypothyroidism treatment hypothyroiidism medical community with the latest news, medical cases, images, videos, stories, and thought-provoking articles. Trail sign is the prominence of sternal head of Sternomastoid due to the shift of trachea to the same side Pleuropulmonary disease with Work-up to rule out other causes did not reveal any other relevant abnormality. Marinella Minerva Med. Beside TSH and thyroid hormones, we measured parameters known to reflect tissue manifestations of hypothyroidism, such as ankle reflex relaxation time and total cholesterol. In most of the case reports, patients with ascites requiring therapeutic abdominal paracentesis have long-standing hypothyroidism.

In thyrotoxic males and females the half relaxation time was Classical signs of hypothyroidism were present only in patients with severe overt hypothyroidism with low T3, but were rare or absent in patients with normal T3 but low free T4 or in patients with SCH normal thyroid hormones but elevated basal TSH; mean scores, 7. What is the cause of radioradial and radiofemoral delay? Trail sign is the prominence of sternal head of Sternomastoid due to the shift of trachea to the same side Pleuropulmonary disease with She had a history of papillary thyroid cancer for which she underwent thyroidectomy. Water, sodium, and calcium are more slowly expelled by the hypothyroid muscle. December 6,

After initiation of thyroid hormone replacement, the patient responded very well and the ascites resolved within 2 months. Newer Post Older Post. It is commonly found in atrial fibrillation New England Journal of Medicine7e

Contact us: contact medizzy. Necessary cookies are absolutely essential for the website to function properly. It is most likely that the eponym of Woltman sign of myxoedema is an homage to hung up reflexes hypothyroidism treatment esteemed colleague entering retirement, rather than the definitive designation of priority in discovery. She had no history of illness, and she was not taking any medication. As all these values were statistically significant, we consider the photomotographic measurement of ankle reflex as an important aid to the diagnosis of thyroid hormone imbalances. Video showing the Woltman sign in the bicep tendon of a year-old woman.

Evaluation of symptoms and signs of hypothyroidism with the new score in addition to thyroid function testing is very useful for the individual assessment of thyroid failure treatkent the monitoring of treatment. A year-old woman presented to the neurology clinic with gait that had worsened over the course of 2 years. Analysis of the ascitic fluid revealed an exudative effusion with a serum to ascitic fluid albumin gradient of 1. Changes in the duration were shown to correspond to disorder of thyroid function. Symptomatic ascites as a presenting symptom of hypothyroidism is quite rare. Estimation of tissue hypothyroidism by a new clinical score: evaluation of patients with various grades of hypothyroidism and controls. Minerva Med.

Typical findings on physical examination include dry coarse skin, periorbital and pedal edema, bradycardia, thin hair and pleural effusions. Contact us: contact medizzy. Thyroid storm and myxedema coma. The eponym "Woltman's sign of myxedema" was first published in at the time of Woltman's retirement. Kaux, J. Changes in the duration of the Achilles reflex were studied in subclinical disturbances of thyroid function.

J Clin Neurosci. Normal chest is symmetrical and elliptical in cross section. A year-old woman presented to hospital with a 2-month history of facial puffiness, constipation, hoarse voice, fatigue and cold intolerance.

  • Our goal is to inform the global EM community with timely and high yield content about what providers like YOU are seeing and doing everyday in your local ED. Ankle reflex photomotogram in thyroid dysfunctions.

  • The study found that the clinical score and ankle reflex time correlated well with tissue thyroid effect but the TSH had no correlation with the tissue effect of thyroid hormones

  • Probl Endokrinol Mosk. The achilles tendon reflex is a scientific way to assess thyroid function.

  • This patient is exhibiting signs and symptoms consistent with myxedema coma.

The hypothyroid blood vessels are unable to relax properly, contributing to hypertension. Hypothhroidism is the cause of radioradial and radiofemoral delay? Water, sodium, and calcium are more slowly expelled by the hypothyroid muscle. Analysis of the ascitic fluid revealed an exudative effusion with a serum to ascitic fluid albumin gradient of 1. Med Klin. J Assoc Physicians India.

Curr Hypertens Rev. J Neurol ; Sorry, your blog cannot share posts by email. In cases of myxedema, the tendon reflexes produce such slow movement of the parts affected that the quality can be recognized without the aid of mechanical devices and is a valuable sign in the diagnosis of the disease.

December 29, As all these values were statistically significant, we consider the photomotographic measurement of ankle reflex as an important aid to the diagnosis of thyroid hormone imbalances. The hung-up knee jerk reflex should be distinguished from delayed relaxation of deep-tendon reflexes which is often seen in patients with hypothyroidism.

She is alert and oriented hypothyroidims 1, and her neck reveals a well-healed midline anterior neck scar. Severe hypothyroidism is rarely seen in clinical practice in the developed world because of the widespread availability of thyroid-stimulating hormone and assays to detect thyroid hormone. Sorry, your blog cannot share posts by email. Search for:. The eponym "Woltman's sign of myxedema" was first published in at the time of Woltman's retirement. Med Clin North Am.

Forgot your password? Annales de Readaptation et de Medecine Physique. Sign in. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. ISBN Next Post Texidor Twinge.

Sorry, your blog cannot share posts by email. Password recovery. Minerva Med. Status epilepticus caused by a myxoedema coma.

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