Indications for Thyroid Surgery |
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| Authors: | William J. Hardin John F. McKenney Robert L. Peake George Crile Jr. James F. McMurry Jr. |
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| Affiliation: | 1. Department of General Surgery Scott and White Clinic, Temple, Texas;2. Department of Internal Medicine University of Texas Medical Branch at Galveston;3. Department of General Surgery Cleveland Clinic, Cleveland;4. Department of Endocrinology Scott and White Clinic |
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| Abstract: | Research is proving that the effects of various mediators and changes in microcirculation bring about the cellular and metabolic consequences recognized clinically as shock. In this article, the authors approach diagnosis and treatment of the different types of shock through evaluation of hemodynamic variables. They summarize underlying causes of shock, the signs of its progressive stages, and diagnostic studies needed to guide treatment decisions. |
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| Keywords: | transgender gender dysphoria physiological sexual disorder gender identity disorder |
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