Medi-Vision Medical Signs Online

Two patients are demonstrated in this film, showing the extremes of hormonal upset due to autoimmune thyroid disease. The first patient has classical gross myxoedema at a stage that should not be seen nowadays; the transformation after four months on thyroxine is dramatic. The second man has Graves' disease, but had been labelled a respiratory cripple because of silicosis, and this contributed to the missed diagnosis. He too has classical physical signs, including atrial fibrillation...

Acromegaly is a chronic disease caused by a growth hormone secreting pituitary tumour. Three cases of acromegaly are presented and together illustrate many of the clinical features of this disease, its diagnosis and its modern medical management, including the use of long-acting somatostatin analogues.

Six patients with various causes of Panhypopituitarism are presented who illustrate many of the pitfalls in diagnosis and treatment, and aspects of modern replacement therapy, including the importance of glucocorticoid replacement for surgical and emergency cover, and the use of growth hormone.

On this film, Julian Davis presents a lady with Cushing's syndrome due to a microademona of the pituitary (who also has MEN1); David Anderson presents two cases of Nelson's syndrome, and Julian Davis a young man with MEN1 and a large macroprolactinoma. Together they illustrate many important aspects of the diagnosis and treatment of these conditions.

A variety of cases of the neuropathic and vascular foot complications of diabetes are presented and discussed by experts in diabetes and its complications. The prevention, evaluation and management of foot ulcers and gangrene complicating diabetes are comprehensively illustrated.

preview of our latest DVD in our series, on Familial Hypercholesterolaemia and its relevance to lipid levels generally. Features 5 patients and a discussion with Prof Brian Tomlinson of the Chinese University in HK.