Biomedical subjects

K Schemmel

Publications and source records attributed to K Schemmel.

At least 19 recordsLinked to original sources

PubMed1983

[Hypothyroidism in the elderly of advanced age].

Thyroid function tests were performed on 445 in-patients over a four month period at the Department of Medicine of a teaching hospital attached to the University of Kiel. Excluding those severely ill, moribund or known to have abnormal thyroid function, the study included all patients over 60 years of age. Diagnostic criteria were clinical symptoms, results of the TRH test and of T4-RIA, in addition to nonspecific tests of blood sugar, serum cholesterol and blood count. Among the 445 patients there were 15 with manifest hypothyroidism (3.4%), previously undiagnosed. A further 23 (5.2%) had the subclinical variant of "borderline hypothyroidism". The sex ratio was normal for manifest and for borderline hypothyroidism. The classical cardinal clinical symptoms were present in only those with severe and marked hypothyroidism, i.e. not even a third of all those with manifest hypothyroidism.

Aged↗

PubMed1976

[Objectivation of psychic alterations in patients after hypophysectomy (author's transl)].

17 patients who had undergone transfrontal hypophysectomy were compared as regards their performance in the MMPI Saarbrücken and the Rosenzweig-Picture-Frustation Study with an equal number of patients who had undergone comparable head surgery. The results suggest that the psychic alterations revealed in these tests may be regarded as unspecific consequences of the operative method.

Adult↗

PubMed1975

[Treatment of thyroid storm with plasmapheresis (author's transl)].

The conventional treatment of thyrotoxicosis is based on central and periphery therapeutic measures which respectively block the thyroid hormone production and subdue the hormone effect in the tissue. On account of long biological hal-life of thyroxine conventional methods of treatment fail to achieve a rapid reduction of the excessively high serumhormone level. As the overwhelming proportion of thyroid hormone is boud to serum proteins, plasmapheresis presents itself as a possibility of achieving this therapeutic aim. In the following a report is given on the successful practice of plasmapheresis in two cases of thyrotoxiicosis. In each of these, 1.4 and 1.2 litres of plasma respectively were re moved in all. Immediate combined use of plasmapheresis and conventional therapy appears to constitute a definite improvement in the treatment of thyrotoxicosis.

Adult↗

PubMed1975

[Diagnosis and control of therapy of thyroid disorders by TRH-test (author's transl)].

TSH-measurement before and after stimulation with TRH proved to be of good value in the diagnosis of thyroid dysfunctions, better than other parameters including J-131-test. During treatment of hypothyroid disorder TRH-test, often repeatable, allows estimation of T4 substitution dosis. In Graves disease therapy, furthermore, should be judged by in-vitro or clinical parameters.

Aged↗

PubMed1975

[Total thyroidectomy in progressive endocrine exophthalmos (author's transl)].

In 26 patients with progressive endocrine exophthalmos thyroidectomy was performed after conservative treatment had failed. This treatment was successful in all but two patients. The success of therapy depended on the complete removal of all thyroid tissue. If the ophthalmic changes were more than a year old or if there had been preoperative irradiation of the orbit regression of the exophthalmos was less satisfactory.

Exophthalmos↗

PubMed1974