вторник, 2 декабря 2008 г.

The leukopenia

The leukopenia and-or a granulocytopenia meets approximately at 10 of patients a thyrotoxicosis. The number of lymphocytes at these patients remains within norm or slightly raises, that frames a relative lymphocytosis. At illness widespread , and the splenomegaly is taped approximately at 10 of patients; at thyroiditis these signs are absent. At order ultram picture a hypothyrosis constant shifts of the leukocytic formula are not observed some, but at syndrome often note insignificant , limfo - and an eosinopenia. Last is considered for a long time already a diagnostic sign of this disease. At illnesses the lymphocytosis which in rare instances can reach the degrees is observed, forcing to suspect a leukaemia. At diabetic the leukocytosis of an order of 15000-30000 cells in 1 3 (15-30•109/) constantly develops, therefore in this case he cannot be considered as the indicating on the infectious reason . The expressed leukocytosis, as a rule, is observed and at to a clod. In a small number of patients with a pheochromocytoma find out easy degree of a leukocytosis. Glucocorticoids can cause sudden augmentation of number of thrombocytes; the thrombocytosis is observed also at chronic excess of glucocorticoids. CARDIOVASCULAR SYSTEM The hyperthyroidism and pheochromocytoma are almost always accompanied by a tachycardia. Usually it has a parentage, but the atrial tachycardia or an atrial fibrillation with fast reaction of ventricles (the ectopic arrhythmia at these conditions, as a rule, specifies in accompanying disease of heart) can sometimes be observed . The tachycardia can frame sensation . Besides, it meets and in the conditions of an organism dehydration, for example at insufficiency of a cortex of adrenals owing to destruction of a gland or deficiency 11 -gidroksilazy or at not compensated diabetes. At a hypothyrosis the bradycardia, as a rule, becomes perceptible.
At any syndrome accompanied by a lipidemia or an arterial hypertensia, cases of development of a myocardial infarction or a stroke can become frequent. The lipidemia can accompany a hypothyrosis and diabetes. The arterial hypertensia accompanies a primary aldosteronism, a pheochromocytoma, syndrome , treatment by glucocorticoids (sometimes) and diseases of kidneys (for example, at diabetes and a hypercalcemia). Differences in character of endocrine secretion, most likely, explain the big frequency of a myocardial infarction at men, than at women in . There are reports that contraceptive steroids promote rising of frequency of a myocardial infarction and a stroke. Though these bonds influence a lipide exchange and can raise arterial pressure, the reasons of augmentation of frequency of a cardiovascular pathology at their use remain unknown persons. At last, frequency of cases of a myocardial infarction, a stroke and a lesion of peripheric vessels is enlarged at diabetes. In typical cases at illnesses, a hypopituitarism and a hyperthyroidism the sizes of heart appear reduced. At a hypothyrosis and any conditions bound to an arterial hypertensia, the sizes of heart can be enlarged and the congestive heart failure which can accompany also a hyperthyroidism or a pheochromocytoma, apparently, because of the excessive demands shown to heart superfluous b by-adrenergic stimulation, bound many thyroid hormones or catecholamins can develop. At young it seldom leads to congestive insufficiency, but against the developed atherosclerotic lesions such diseases can cause the serious form of a warm decompensation in older persons. The sizes of heart are enlarged at an acromegalia though its function can and not be broken. Any conditions at which congestive insufficiency develops, can be accompanied by the edemas arising and at a hypoproteinemia, bound to a diabetic nephropathy or a serious nervous anorexia. It is surprising, that at a primary aldosteronism, despite the enlarged general maintenance of sodium in an organism, edemas meet rather seldom. Toxic reactions to reception of the medical products prescribed concerning a cardiovascular pathology, or resistance can sometimes testify to endocrine disturbances to action of these agents. For example, at buy vpxl review a hyperthyroidism and a pheochromocytoma, and also at a hypopotassemia as it observe at a primary aldosteronism, the poisoning with Digitalis preparations faster develops. At a hyperthyroidism insusceptibility to b to-adrenoblockers can become perceptible. URINARY TRACT Classical signs of a diabetes and central or nephrogenic are the polyuria and a nocturia (or an uracrasia at children). The expressed hypercalcemia or a hypopotassemia can break concentrating function of renal canaliculuses owing to what corresponding symptoms can appear at patients with a primary hyperparathyreosis and others conditions, and also at patients with a primary aldosteronism and syndrome . Patients with diabetic independent can show complaints to frequent emictions, an incontience of urine or its delay. At these patients the impotency often becomes perceptible. The diabetes is characterised by increase of cases of a becoming infected of an urinary tract, and also fungoid infections of a vagina and a vulva.

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