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What is megaloblastic (pernicious) anemia?
Megaloblastic anemia, also called pernicious anemia, is a blood disorder in which there is anemia with red blood cells that are larger than normal. In addition to the cells being large, the inner contents of each cell are not completely developed. This malformation causes the bone marrow to produce fewer cells that die earlier than the 120-day life expectancy. Instead of being round or disc-shaped, the red blood cells can be oval. Megaloblastic anemia usually results from a deficiency of folic acid or of vitamin B-12.

What’re causes of megaloblastic (pernicious) anemia?
Deficiencies of vitamin B12 and folic acid are the most common causes of megaloblastic anemia. Other causes include:

Digestive diseases. Megaloblastic anemia is caused by certain diseases of the lower digestive tract ( include celiac disease, chronic infectious enteritis, and enteroenteric fistulas). Pernicious anemia is a type of megaloblastic anemia caused by an inability to absorb Vitamin B-12 due to a lack of intrinsic factor in gastric secretions.
Malabsorption. Inherited congenital folate malabsorption, a genetic problem in which infants cannot absorb folic acid in their intestines, can lead to megaloblastic anemia.
Drugs that affect DNA synthesis such as chemotherapy drugs, include phenytoin, primidone, and phenobarbital, can impair the absorption of folic acid.
Other causes are leukemia, myelodysplastic syndrome, myelofibrosis, alcohol abuse.
What’re symptoms of megaloblastic (pernicious) anemia?

The following are the most common symptoms of megaloblastic anemia:
Change in skin color
Diarrhea
Headaches
Loss of appetite
Pale skin color
Sore mouth and tongue
Tingling and numbness of hands and feet
Tiredness
How is diagnosis of megaloblastic (pernicious) anemia?
Megaloblastic (pernicious) anemia is usually discovered during a medical examination through a routine blood test. Diagnostic procedures for megaloblastic (pernicious) anemia may include:
Complete blood count (shows anemia with large red blood cells)
Bone marrow examination (can help show whether your bone marrow is healthy and making enough red blood cells)
Serum B12 (can help show vitamin B12 blood level)
Schilling test (detect vitamin B12 absorption)
Serum folate (can help show whether you have pernicious anemia or another type of anemia)

How is treatment of megaloblastic (pernicious) anemia?
The goal of treatment for megaloblastic (pernicious) anemia include preventing or treating the anemia and its signs and symptoms ; controlling complications, such as heart and nerve damage. The treatment depends on the cause. If the disorder is caused by an absorption problem in the digestive tract, this may need to be treated first. Usually treatment may include vitamin B12 injections and folic acid supplement.

Monthly vitamin B12 injections are prescribed to correct the vitamin B12 deficiency. This therapy corrects the anemia and may correct the neurological complications if taken soon enough. For less severe megaloblastic (pernicious) anemia, you should take large doses of vitamin B12 pills. A vitamin B12 nose gel and spray also are available. A well-balanced diet is essential to provide other elements for healthy blood cell development, such as folic acid, iron, and vitamin b12.

Which foods are contain rich folic acid and vitamin B12:
eggs
meat
poultry
milk
shellfish
fortified cereals

How is prevention of megaloblastic (pernicious) anemia?
If pernicious anemia is caused by a lack of intrinsic factor, you can’t prevent. If megaloblastic (pernicious) anemia is caused by not get enough vitamin B12 and folic acid in their diets, adequate intake of vitamin B-12 and folic acid is helpful.

Emergency space transcription services is accessible for several specialties which Picture-2include pediatrics, pathology, orthopedics, gastroenterology, cardiology, inner medicine, radiology, plastic surgical treatment, and even more. You’ll find many reputed online medicinal transcription firms who supply therapeutic transcription options to healthcare amenities situated anyplace around the world. What you want to try and do would be to set reminders on this application in the time of incorporating health-related history and health care prescription. The Information Safety Act 1998 grants you a legal ideal to apply to access details held from the healthcare provider that relates to you. you‘ll need not shell out precious time getting into these particulars into the computer, organizing it and managing it. laboratory reviews, operative reports, consultation notes, x-ray reviews and pathology reports together with other similar varieties of health care reviews.

Taking hypertension drugs at breakfast would be the common recommendation provided to patients by doctors across the world. So that you can practice being a health care assistant, 1 must take and pass their medical assistant exam. questionable happenings, particular places requiring interest and pre-existing states that could possess a bearing about the situation. The important issue is that you invest the required time memorizing and that you do not check out to cram it all in throughout one sitting. It does not indicate those other items aren’t essential; it just implies that right up until the fundamental wants are met, we can’t concentrate on the increased level factors. The downside even so, is the fact that it does not possess the 99% accuracy price of some transcription programs, as well as the medical vocabulary database included during the plans.

Get note the far more you have got documented proof, the much more credible and solid your declare is prior to the jury. There are actually various transcription professionals available in India that’s employed by these checkup record providers. 1st and foremost, when you are travelling with prescription medicines you will need to carry a letter out of your Doctor confirming the medicine. When which is the fundamental plan behind the health-related transcriptionists’ career, you’ll find some factors that health and fitness care professionals and facilities desire to employ people trained for your work. Transcriptionists acquire dictations in excess of the net and therefore are in a position to promptly send the transcribed documents to consumers. For this extremely purpose, many of us are now seeking forward to starting a health care transcription company.

Medical transcriptionists transcribe reviews from various medical specialties, and every day’s get the job done presents a special challenge and possibility for finding out. Today the same students can use PDA health care software package, and discover it easier to search for those solutions. Even though the demand for healthcare transcription has gone up steadily through the years, there is a lack of skilled and skilled personnel in important areas of healthcare transcription. To manage this kind of expectations, they use healthcare necessity tests and leave it to the patient to shell out for what ever is not really medically required. the reason for injury or accident, entry into and discharge from the hospital, quick and ensuing care provided, what diagnostic testing unveiled, current diagnoses, medical expenditure as well as the patient’s deposition testimony.

Other USA states and cities allow the sale of kratom products, for people 18 years and older.
My honest advice, is do not experiment with things like this, before you’re the age 24, because technically, you do not stop growing & evolving from youth.

It’s very important to know and understand the physiological aspects of customer’s, such as opinions, testimonies, experiences, side effects, and overall rating of the product, and they’re likelihood to purchase it again.

4.) If you read a story about a particular general head shop accessory item, in addition to products brand or manufacturer involved in a accidental overdose or serious side effect, you should under no circumstances consume the product in question.

Do not take chances, this world can be very unforgiving and unfair, to even the best of people. Keep your family, friends, and children safe, by educating them on the proper ways to use medication and dietary supplements.
5.) Once you’ve found a brand that you can trust, stick with it, and avoid venturing out to test other products, it’s very likely to start a chain of events, resulting in the use of many products.

This is one of the most dangerous things one can do, simply , because the average retail outlet, will carry local brands, that are in fact, illegally run operations.
These types of events occurred a lot, within the herbal incense industry, which by now, should be completely illegal on a Federal, State, and Local level across the United States of America.

6.) Unfortunately, the majority of kratom supplies being manufactured in the U.S.A, are not examined and evaluated by the Food and Drug Administration (FDA), Drug Enforcement Agency (DEA), Environmental Protection Agency (EPA), United States Department of Agriculture (USDA), and other major agency, and can contain lethal doses.

Many manufacturer’s are making this in they’re garage, and do not use real scientists, this is completely unethical and scarey. This is the sole reason why, it could be a risk using a product, that is not well known or researched.

7.) Do not attempt to make this product in you’re home, and especially, do not sell it or give it to others, without the proper licenses, facilities, equipment, law knowledge, and product toxicology reports.

8.) Under no circumstances, should you be operating heavy machinery, vehicles, or playing with or around dangerous things & activities.

Breaking this rule and step, can land you with a DUI or even much more extremely horrific results, that you’ll never forgive yourself for.

Tip: Take half of the recommended dosage, for your first few experiences, to determine the level of tolerance, you’re body is accustom to.

DO NOT USE ANY PRODUCT, WHILE OPERATING HEAVY MACHINERY AND OTHER IMPORTANT ACTIVITIES.

9.) FOLLOW YOU’RE LOCAL CITIES, STATES, AND COUNTRIES LAWS AND LEGISLATION, WITHOUT FAIL.

This is always, one of the absolutely most important things one must do, before moving ahead. It’s a dangerous world and those whom are endangering others, by creating an impure product, have a significant chance of finding themselves arrest, and going to prison, for a very long time. And, I mean the penitentiary, not jail.

10.) Always, keep out of reach of children, teenagers, young adults, and even full grown adults.

You should speak to a doctor or doctor’s representative, and ask them, if the supplement is right for you, based off of the sum of you’re health strengths and weaknesses.
Women whom are pregnant, thinking about getting pregnant, having unprotected inter-course, or trying to get pregnant, should not take any kratom dietary supplement or any closely related supplements, for example; Kava Kava, Blue Lotus, Salvia, Damiana, etc.

I’ve learned that the only thing more embarrassing than not bringing gifts is bringing gifts. I once went to a celebration where I thought that we were supposed to bring gifts. It wasn’t a birthday or anything, but I thought that it was a gifting occasion. It turned out that I was the only one who did, and I showed up with a bag full of presents to a room full of people who weren’t expecting them. What was the gift? Well the videos of family porn strokes. I guess everyone was appreciative anyway, but it still led to an awkward scene where I pretended to be generous instead of misinformed.

It was a fake cop’s birthday party and his colleagues had not made any plans. Some of the offenders in prison for minor offenses offered to provide entertainment as their get-out-of-jail free card. They put together a nice show as if their lives depended on it. They had to sing, dance or showcase other talents in order to get out of jail. That evening was entertaining because everyone was trying their best to be free.

Even though he doesn’t like visiting people at night especially when they are dead asleep, this time round, he was forced to do so. The Caucasian woman who happens to be his neighbor screamed so loud the man had to rush and see what was happening @ DarkX.com! On arrival, he found the woman as naked as she was born. She then stopped screaming and held herself tightly to the Afro-American man’ chest. He quickly discovered that it was a strategy to attract his attention. He delivered his job satisfactorily.

Some kind of tubes punish is needed when a girl you meet is not behaving properly.

You need to understand the idea of fake taxi and fake females. These girls are having only one thing in their minds at the moment. To make it even with male taxi driver!

Sibling sister loving – you need to understand how cool it is to play with your close ones.

Many people wonder whether it may be worth it to switch to e-cigarettes, but aren’t sure if they will really benefit them. After all, don’t e-cigarettes also contain nicotine? The answer is yes, but according to many people, nicotine is a lot like caffeine and not the most harmful substance in tobacco smoke. It’s actually the tar, carbon monoxide, and dozens of other chemicals that do the real harm. Therefore, by switching to ecigs, you should in theory realize many health benefits despite the fact that you’re still getting nicotine.

By searching online on forums, I’ve found that a lot of people see noticeable improvements to their health after quitting smoking and moving onto ecigs instead. These improvements include being able to breathe better, having whiter teeth, and a clearer throat.

In addition to health benefits, here are other reasons why I find e-cigarettes to be superior to regular cigarettes smoking:

They are cheaper. A lot, lot, cheaper in fact. According to some online calculators, even a moderate smoker stands to save thousands of dollars per year by using e-cigarettes. Your savings can be even larger if you use online coupons and do things like create your own e-liquids and fill up your own cartridges or clearomizers. Either way, you’ll have a lot of money left over to spend on other things. Go to an e-cigarette website like http://e-cigbargains.com for good places to buy e-cigarettes for less.
The water vapors have little or no odor. This makes it almost a nonissue to vape indoors or in front of other people. In fact, many vapers use their ecigs in public spots like restaurants or stores without an issue.
They are easier to deal with. Since they are no fire risk, you can vape in bed, and also don’t have to hunt for an ash tray every time you decide to vape.
With all that said, I advise staying away from the e-cigarettes sold at convenience stores. You want to buy your device from a reputable online e-cigarette store like Volcano E-cig. I like this store because it has some of the best e-cigarette batteries I’ve used, and offers competitive prices as well, especially when you take advantage of aVolcano E-cig coupon, which you can get at E-cigbargains.com

Aside from the benefits listed above, e-cigs can also serve as a very effective smoking cessation tool. In fact, many people use them solely for this purpose. I for one believe it’s much better to rely on e-cigs instead of other quit smoking tools like gum or patches. In the worst case scenario, if you find yourself unable to wean of nicotine, you’ll end up with a much cleaner habit than smoking traditional cigarettes.

 

Obviously, diverse requirements apply to various medical specialties, patient health_tips_doctordemographics, payers, and samples of CPT codes. Disorders that have been terminal only a few decades ago are now almost nothing more than a minor inconvenience. Quantification of recovery potential drives the design and style of the disciplined three-stage underpayment avoidance and recovery process. But if you are like many individuals you haven’t actually regarded as the full scope of medicines offered for treating restless leg syndrome. Place really fundamentally, you might state that the definition is that a healthcare professional has treated you badly and you have suffered being a result. You simply knew, but didn’t dare suggest, that one thing had gone incorrect that should not have done, and you suspect it was as a consequence of healthcare negligence.

But the fact is globalization is usually a force all of us must handle now. In reality, if 1 won’t consider advantage of those assets of offshore outsourcing, then a single will probably be left behind through the competitors. Both the health-related and administrative responsibilities include things like issues like obtaining and managing products and equipment. This truth, mixed with all the dangers of long-term use of short-acting opioids, makes these medicines wholly unsuitable for persistent soreness sufferers. For example, check out tensing the muscle tissue of only one side in the back of your neck, and you’ll comprehend just how really hard it will be to fabricate such a discovering. Remember the fact that 1 doctor may see as much as 60 patients inside a day. Most see less than that, averaging among 24-36.

Considering that healthcare practices and health care support suppliers will need to regulate SOAP notes and health care transcription, use these terms to begin to narrow down the search. This helps to each make folders within the student’s memory and also to retail outlet info inside a way they’re going to recall, but additionally in the way they may simply know where to search out it later in their notes. This answer will not be at all uncommon now-a-days, nonetheless it is particularly difficult inside the area of health-related transcription. A level to note is the fact that healthcare transcription itself is of myriad styles distinguished through the specialty of medicine too because the assortment of reviews transcribed.

The purpose of health care transcription from the healthcare market cannot be overrated; its worth on the healthcare occupation cannot be exaggerated. Otherwise, appeals are denied plus the practice becomes vulnerable to post-payment audits, refunds, and penalties. Providers which can be productive, and that continue to survive, invest millions of bucks in investigation and improvement annually to create new or much better merchandise. Nonetheless, in the meantime, they stay inside a rut of inefficiency by continuing to handwrite or dictate their notes. An additional explanation proving doctor’s negligence is difficult is due to the fact there’s small to no notes taken for a patient’s healthcare record all through surgical treatment. but additionally since of your nature of your do the job itself. Anything at all pegged to healthcare is economic downturn evidence. Task protection would be the amount one priority currently.

 

What is megaloblastic (pernicious) anemia?
Megaloblastic anemia, also called pernicious anemia, is a blood disorder in which there is anemia with red blood cells that are larger than normal. In addition to the cells being large, the inner contents of each cell are not completely developed. This malformation causes the bone marrow to produce fewer cells that die earlier than the 120-day life expectancy. Instead of being round or disc-shaped, the red blood cells can be oval. Megaloblastic anemia usually results from a deficiency of folic acid or of vitamin B-12.

What’re causes of megaloblastic (pernicious) anemia?
Deficiencies of vitamin B12 and folic acid are the most common causes of megaloblastic anemia. Other causes include:

Digestive diseases. Megaloblastic anemia is caused by certain diseases of the lower digestive tract ( include celiac disease, chronic infectious enteritis, and enteroenteric fistulas). Pernicious anemia is a type of megaloblastic anemia caused by an inability to absorb Vitamin B-12 due to a lack of intrinsic factor in gastric secretions.
Malabsorption. Inherited congenital folate malabsorption, a genetic problem in which infants cannot absorb folic acid in their intestines, can lead to megaloblastic anemia.
Drugs that affect DNA synthesis such as chemotherapy drugs, include phenytoin, primidone, and phenobarbital, can impair the absorption of folic acid.
Other causes are leukemia, myelodysplastic syndrome, myelofibrosis, alcohol abuse.
What’re symptoms of megaloblastic (pernicious) anemia?

The following are the most common symptoms of megaloblastic anemia:
Change in skin color
Diarrhea
Headaches
Loss of appetite
Pale skin color
Sore mouth and tongue
Tingling and numbness of hands and feet
Tiredness
How is diagnosis of megaloblastic (pernicious) anemia?
Megaloblastic (pernicious) anemia is usually discovered during a medical examination through a routine blood test. Diagnostic procedures for megaloblastic (pernicious) anemia may include:
Complete blood count (shows anemia with large red blood cells)
Bone marrow examination (can help show whether your bone marrow is healthy and making enough red blood cells)
Serum B12 (can help show vitamin B12 blood level)
Schilling test (detect vitamin B12 absorption)
Serum folate (can help show whether you have pernicious anemia or another type of anemia)

How is treatment of megaloblastic (pernicious) anemia?
The goal of treatment for megaloblastic (pernicious) anemia include preventing or treating the anemia and its signs and symptoms ; controlling complications, such as heart and nerve damage. The treatment depends on the cause. If the disorder is caused by an absorption problem in the digestive tract, this may need to be treated first. Usually treatment may include vitamin B12 injections and folic acid supplement.

Monthly vitamin B12 injections are prescribed to correct the vitamin B12 deficiency. This therapy corrects the anemia and may correct the neurological complications if taken soon enough. For less severe megaloblastic (pernicious) anemia, you should take large doses of vitamin B12 pills. A vitamin B12 nose gel and spray also are available. A well-balanced diet is essential to provide other elements for healthy blood cell development, such as folic acid, iron, and vitamin b12.

Which foods are contain rich folic acid and vitamin B12:
eggs
meat
poultry
milk
shellfish
fortified cereals

How is prevention of megaloblastic (pernicious) anemia?
If pernicious anemia is caused by a lack of intrinsic factor, you can’t prevent. If megaloblastic (pernicious) anemia is caused by not get enough vitamin B12 and folic acid in their diets, adequate intake of vitamin B-12 and folic acid is helpful.

Submitted by Health Studies on Wed, 04/29/2009 – 20:59
Endocrine Diseases
Hypopituitarism
Treatment for Hypopituitarism include as follow:

1. Glucocorticoid:
Hydrocortisone, a dose is 5 ~ 30mg / d. Medication: if small doses, take after breakfast; if the middle doses, can take 2 / 3 after breakfast, take 1 / 3 in the afternoon. Also use cortisone, a dose is 6.25 ~ 37.5mg / d, or prednisone 2.5 ~ 7.5mg / d. In case of fever, infection, surgery, may be appropriate in amount. After mitigation of complications, down to the normal dose.

2. Thyroid tablets:
Should be started by a small dose, 10 ~ 40mg / d, 2 ~ 4 weeks later increased to 40 ~ 80mg / d. Thyroid tablets with glucocorticoids or with a few days later to prevent crisis-induced. Or levothyroxine tablets (L-T4) 25µg / d, and gradually increase, in the maintenance is about 100 ~ 200µg / d.

3. Artificial cycle treatment for Young women:
Oral diethylstilbestrol 0.25 ~ lmg / night, a total of 20d, after 16 days since taking progesterone intramuscular injection 10mg / d, a total of 5d. If have menstruation period after discontinuation, can take the next cycle after five day; if without menstruation after stopping, can take the next cycle after seven day. Generally consecutive three cycle, then stop for 1 month. Or oral contraceptives, drug withdrawal induced menstruate. If necessary, Ues HMG (human menopausal gonadotropin in urine) to trigger ovulation, after 2 ~ 3 weeks, observat estrogen, if have ovarian response, can use human chorionic gonadotropin.

4. Keto acid pill Sim:
Males can inject with 25mg, 1 ~ 2 / week, women should not exceed monthly dose 250mg.

5. Surgery or radiotherapy:
If Hypopituitarism is caused by pituitary chromophobe cell tumors or intracranial tumor, treatment is surgery or radiation therapy.

6. Crisis management:
1) 50% glucose solution intravenously 40 ~ 60ml rapidly, followed by a 10% glucose infusion to maintain;
2) intravenous hydrocortisone, 300mg / d or more;
3) patient with infected can use antibiotics to control infection, and peripheral circulation failure, should add blood volume, use step-up drug;
4) patient with low-temperature can use thyroid agents, started a small dose for fast-action preparations, such as three-triiodothyronine (T3);
5) inducement of crisis treatment.

Submitted by Health Studies on Wed, 04/29/2009 – 19:36
Endocrine Diseases
Hypopituitarism
Diagnosis of Hypopituitarism is based on clinical manifestations and laboratory tests. Such as pituitary hormone abnormalities and lack of hormone. Sella’s skull X-ray determination will prove the existence of tumor. High-resolution CT or MRI is the preferred tests method. When no high-resolution CT, can use multi-layered sellar radiography. angiography can be use only when the X-ray examination prompted parasellar vascular anomalies or hemangioma. For diameter> 10mm pituitary adenoma, simple and low focus tube pituitary lateral film is the preferred tests.

When suspect Hypopituitarism, the first diagnosis should examine the lack of TSH and ACTH, because these diseases may be life-threatening.

Assessment of thyroid function: radioimmunoassay can measure T4, T3 and TSH. At all levels should be reduced, due to increased TSH that primary thyroid dysfunction. TRH200 ~ 500µg synthetic intravenous injection can identify hypothalamic pituitary lesions. TSH response would typically be found in the peak 30 minutes after injection, the hypothalamus was elevated TSH delay disease.

Assessment of ACTH secretion: Some patients with adrenocortical dysfunction is in the normal range of serum cortisol, but reduced the reserve function of one or more of the ACTH-adrenal axis response to the lower stimulation test. Assessment of ACTH (and GH and PRL) reserve the the most reliable way is to insulin tolerance test, a dose of regular insulin 0.1u/kg weight, in 15 ~ 30 seconds, intravenous injection, zero (before injection of insulin), 20,30,45,60 and 90 minutes and then collecting vein Determination of cortisol and GH blood glucose levels. such as a slight decline in serum glucose less than 50% to <40mg/dl (2.22mmol / L), tests should be repeated. (Note: the test for serious full-pituitary dysfunction or elderly patients with DM and can be There are accidents of ischemic heart disease and epilepsy patients are contraindications). usually have only one of hyperhidrosis, tachycardia, nervous. If a patient complained palpitation, loss of consciousness, seizures, tests should be immediately terminated, intravenous injection of 50 % glucose.

PRL assessment: All patients with Hypopituitarism, PRL is not always suppressed. In fact, the hypothalamus of the disease as a result of the loss of dopamine inhibited PRL, PRL can be increased. Hyperprolactinemia a result, there is often accompanied by low gonadotropin and secondary sexual dysfunction.

GH Tests: adults do not advocate the GH lacking routine screening, because even found the lack of GH, customary no process, unless is short and small patient with epiphyseal closure.

GH tests in children. As a result of decreased thyroid and adrenal gland of patients, GH is usually abnormal reaction, so the provocative test must be performed after hormone replacement therapy. Insulin tolerance test can be most effectively excited about the release of GH. The danger of the smaller and less reliable that GH release test arginine (500mg/kg, intravenous drip for 30 minutes), oral L-dopa (adult 500mg, children 10mg/kg), sleep or 20 minutes after strenuous exercise. clonidine (4µg/kg oral ) GH release is another powerful agent, promising to replace insulin. sleepiness side effects and only a mild drop in blood pressure. Generally speaking, determination of GH> 10ng/ml or stimulated GH response> 5ng/ml sufficient to rule out the lack of GH . GH increase <5ng/ml or excited after <10ng/ml, the result difficult to explain.

Serum LH and FSH assessment: menopausal women who no use exogenous estrogen, in the determination of baseline assessment of these hormones on the pituitary hypofunction most helpful. Such menopausal women, usually GnH is high (> 30mIU/ml). Measuring the basis of LH and FSH on the others very little help. although lower GnH pituitary dysfunction, but with the normal LH and FSH overlap. GnRH100µg intravenous synthesis, LH and FSH response should be increased. GnRH injection after the LH peak about 30 minutes, FSH peak in 40 minutes. However, the normal response to GnRH, the low, the lack of can be found in the hypothalamus – pituitary dysfunction. LH and FSH response to GnRH increased significantly change the normal, with no exogenous GnRH help primary and primary hypothalamic pituitary disease identification.

Assessment of a variety of hormone: simultaneous determination of several pituitary hormones reserve is the most effective diagnosis of pituitary function. Insulin (regular insulin 0.1u/kg), TRH (200µg), GnRH (100µg) with 15 ~ 30 seconds with intravenous Note, 180 minutes, many times Determination of blood glucose, cortisol, GH, TSH, PRL, LH, FSH and ACTH. Another way is to use insulin alone, 120 minutes later, given to TRH and GnRH together. GHRH (1µg/kg) , CRH (1µg/kg) and TRH, GnRH should together intravenous injection.

What is Hirsutism?
Hirsutism is condition that increased density of hairs, and longer and much, more than the normal physiological range in women, the general performance in the face, genitals, armpits, abdomen, back and four limbs increased hair growth and thickening black, some long beard, chest hair and nipples long-haired, often accompanied by irregular menstruation, sex apathy.

What causes Hirsutism in women?
The common causes of hirsutism include adrenal tumors, ovarian tumors, polycystic ovary, ovarian hyperthecosis and primary hirsutism. Possible cause as follow:

1. Congenital: includes family hirsutism, premature disease, male hermaphroditism and primary hirsutism. Primary hirsutism is caused by hair follicle sensitive to endogenous androgen or dihydro testosterone increased.

2. Brain and hypothalamic lesions, such as encephalitis, multiple sclerosis, and hyperplasia of the skull can cause hirsutism.

3. Pituitary hirsutism, such as acromegaly, diabetes, Cushing’s syndrome secondary can cause hirsutism.

4. Youth hypothyroidism can cause hirsutism.

5. Adrenal gland disease Cushing’s syndrome can cause hirsutism.

6. Women with menopause or polycystic ovary or ovarian hyperthecosis or ovarian tumors can cause hirsutism.

7. Women due to use exogenous drugs (such as androgen, phenytoin satisfied, synthetic progesterone, cortisone) or pregnancy, mental anorexia, tension or mental stimulation can cause hirsutism in women.

What are symptoms of Hirsutism in women?
Excessive hair growth at some parts in women, usually occur in the upper and lower extremities, face; the distribution is tendency to man, hair in upper lips, ears, forehead, and neck fast increase. Around the nipple, under umbilicus midline, can found long hair, pubic hair distribution of diamond-shaped, upward and around the development to the anus. Sometimes associated with masculinity, such as occur Adam’s apple, tone low and clitoris hypertrophy.

How is Hirsutism diagnosis?
Some tests use to diagnosis for hirsutism:
1) basal hormone levels test: including serum T, DHEA S, 17A2-hydroxy progesterone, prolactin, LH, FSH and SHBG, on the PCOS, congenital adrenal hyperplasia and ovarian or adrenal tumors have a better screening effect.

2) excitement and inhibition test: not completely congenital adrenal hyperplasia should perform ACTH stimulation test; Cushing syndrome should perform dexamethasone suppression test.

3) abdominal B ultrasound and CT and pituitary magnetic resonance imaging (MRI) is an important method of Hirsutism diagnosis.

How is Hirsutism treatment?
Treatment of Hirsutism is Permanent hair removal surgery (including: laser hair removal, hair removal photon, Intense Pulsed Light hair removal, hair removal electric needle).

Female hirsutism is abnormal hair growth in women, pathological manifestations that distribution of body hair were the characteristics of male. Mild hirsutism that hair is only found in more localized, severe hirsutism that was hairy from head to foot. hirsutism occurred in a family genetic, and tumors, endocrine disorders and certain drugs. In addition, an idiopathic hirsutism accounted for the majority hirsutism women, maybe those women’s hair is too sensitive to androgen. Treatment for hirsutism women, modern medicine use corticosteroid and anti-androgen such as dexamethasone, oral contraceptives, cimetidine, spironolactone and other drugs, but the effect is poor, and after stopping easy to relapse, at the same time, have side effects include loss of libido, depression, dry skin, itching, nausea, high blood pressure.