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Biomedical subjects

C R Birch

Publications and source records attributed to C R Birch.

6 recordsLinked to original sources
PubMed2001

Bilateral gynaecomastia as the primary complaint in hyperthyroidism.

Association of gynaecomastia with hyperthyroidism is uncommon but has been well documented in the past. Gynaecomastia in a patient with hyperthyroidism rarely presents as a primary complaint. When this occurs, it may present a diagnostic challenge to the clinician. We present the case of a patient who was referred initially to the breast clinic with bilateral gynaecomastia. Hyperthyroidism was subsequently confirmed and treated; gynaecomastia regressed with return to the euthyroid state.

Gynecomastia↗
PubMed1986

Apoplexy in small pituitary tumours.

Three cases are described in which the typical clinical features of pituitary apoplexy were associated with a normal pituitary fossa on plain skull radiographs. Failure to consider pituitary disease led to considerable delay in the diagnosis of two of the three patients. Catastrophic haemorrhage may occur even in small pituitary tumours and may result in the clinical syndrome of apoplexy with or without subsequent hypopituitarism.

Adenoma↗
PubMed1973

Disseminated intravascular coagulation associated with hepatitis in late pregnancy.

A patient with viral hepatitis in the third trimester of pregnancy is described. She developed acute hepatic failure in the postpartum period which was associated with evidence of intravascular coagulation. Following therapy with heparin and fresh-frozen plasma, the patient made a dramatic recovery. Hepatitis developed during the puerperium may predispose to pathological intravascular coagulation and hepatocellular necrosis may thereby be perpetuated.

Acenocoumarol↗