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ุฑุงูู ูุงูู Primary ู
ุด ุญุชู ูุงู Hypothyroidism
ูุนูู ุจุนููู ุชุจู ุชุนุฑููุง 1ry ุงู 2ry ุจุงูู T3, T4
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ุงูู ุญุงุฌุฉ ุชุดููููุง ูู TFT
ูู TSH
ูู ูู ุนุงูู ูุงูุซุงูููู ูุงุทููู ู
ุนููุง Primary hypo
ูู ูุงุทู ูุงูุซุงูููู ุนุงูููู primary hyper
ูู ู
ุน ุจุนุถ ูู ุงูุฏูุงุกุฉ ูุงููุทุงูุฉ ู
ุนูุงูุง 2ry hypo
ููู ู
ุน ุจุนุถ ูู ุงูุนุงูู 2ry hyper
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13. Which is the best initial investigation to diagnose primary hypothyroidism?
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Early complication = what threatens the limb first.
Brachial artery injury โ
1. Loss of pulse
2. Ischemia
Can lead to Volkmannโs ischemic contracture if not treated .
โก๏ธ This makes it the most important early complication.
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ุงู ุดุงุก ุงููู ุจุงููุฌุงุญ ููููู
ุชุชุฎุฑุฌูุง
โGRaDโ
Galeazzi โ Radius โ Down (distal radioulnar joint)
G = Galeazzi
R = Radius
a = Ali (ูุฐุง ุงุณู
ู ุงุญูุธูู ๐)
D = Down
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ูุฐุง ู
ูุบ ๐๐
MUG shot โ
Monteggia โ Ulna โ Goes up (radial head dislocates up at elbow)
M = Monteggia
U = Ulna
G = Goes up
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Monteggia fracture = Ulna fracture + dislocation of radial head (proximal / superior radioulnar joint).
Galeazzi = Radius fracture + distal radioulnar joint dislocation (wrist side).
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