The amount of water in the body varies with a patient’s age, weight, and sex. Total body water (TBW) accounts for around 60% of an adult male’s total body weight; a normally hydrated 75 kg man will consist of approximately 45 L of water. There are two major fluid...
I have been fascinated with the detective Sherlock Holmes since childhood. His almost supernatural powers of observation and deduction in stories such as ‘The Sign of the Four’, ‘The Speckled Band’, and ‘A Study in Scarlet’ captivated me and I have re-read them many...
Hyperthyroidism is a clinical syndrome that results from an excess of circulating thyroid hormones. It is more common in women, and the incidence increases with age. In Europe, it affects approximately 1 in 2,000 people annually. Aetiology Hyperthyroidism can...
Hypothyroidism is a clinical syndrome that results from a deficiency of circulating thyroid hormones. It affects women more commonly than men and is most frequently seen in the over 60s. The term myxoedema refers to a more severe form of the syndrome where there has...
Acute epiglottitis is inflammation of the epiglottis. When there is involvement of the soft tissues surrounding the epiglottis, then it is referred to as acute supraglottitis. It can result in life-threatening airway obstruction and death if rapid treatment is not...
In the summer of 2016 a 10-year-old Russian boy cut himself skinning a marmot whilst hunting with his grandfather in the remote Kosh-Agach region in the Atlai Mountains. A few days later he developed a fever and a flu-like illness and was taken to a local hospital. He...
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