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Index 547
thyroid hormones 420, 427–36 tubular necrosis, acute (ATN) 236–7 urography, intravenous 229, 257
thyroid nodule, solitary 430–1, 434 tubulointerstitial disease 251 urticaria 390–1, 498
thyroidectomy 436 tumour necrosis factor (TNF-α) inhibitors uvulopalatopharyngoplasty 116–17
subtotal 430 361, 364
total 434, 435, 436 Turner syndrome 519–20 vaginal cystoceles 265
thyroiditis, autoimmune 433 typhoid fever 152 vagus nerve lesion 338–9
thyroid-stimulating hormone (TSH) 423, vancomycin-intermediate/resistant
427 ulceration Staphylococcus aureus
thyrotoxic crisis 432 Behçet’s syndrome 382, 383 (VISA/VRSA) 19
thyrotoxicosis 43, 431, 433 chronic venous 83–4 vancomycin-resistant Enterococcus (VRE)
thyrotrophin-releasing hormone (TRH) duodenal 161–2 19
427 gastric 161 varicella zoster virus 401
thyroxine (T4) 427, 432, 433, 435 non-healing leg 76 varicocele 273
thyroxine-binding globulin 427 ulcerative colitis 169–70, 181, 364 varicose veins 82–3
Tietze’s disease 410 ulnar nerve lesions 343 vascular disease 73–84, 175–7
Tine test 105 ultrasound scan vasculitis 240, 331, 377–83
tinea 402–3 abdominal 190 ANCA-associated 258
Tinel’s sign 342 bladder 228–9 classification 378
tinidazole 151 breast 411 vasopressin see antidiuretic hormone
torsades de pointes 55 musculoskeletal system 354 (ADH)
toxins, acute tubular necrosis 236, 237 prostate 228–9 vasovagal syncope 25
toxoplasmosis 503 renal 228 venous insufficiency, chronic 82, 84
transfer factor 95–6 upper motor neurones venous pressure 26
transfusion medicine 496–8 motor neurone disease 327 jugular 26, 27, 28, 47
transient ischaemic attacks (TIAs) 297–8 signs 290–1, 292 venous thrombosis
transjugular intrahepatic portosystemic uraemia 239 antiphospholipid syndrome 367
shunt (TIPSS) 199, 200 urea clearance 232 intracranial 299, 300–1
transoesophageal echocardiography ureteric colic 270 nephrotic syndrome 243
(TOE) 32 ureterography 257 see also deep vein thrombosis
transurethral removal of bladder tumour ureterolithotomy 271 venous ulceration, chronic 83–4
230 ureters 228 ventilation
transurethral resection of the prostate congenital malformations 261 ARDS 120
(TURP) 263 urethral lumen 261 assisted (CPAP, NIPPV) 128, 129
transverse myelitis 331–2 urethropexy 265 nasal 115
trastuzumab 418 urge incontinence 264, 265 single lung 97
traveller’s diarrhoea 140 uric acid 372 withdrawal 318
tremor 292, 319, 321 metabolism disorders 253–4 ventilatory failure 128
tricuspid regurgitation 47–8 urinary frequency 224 ventricular aneurysms 38
trigeminal nerve lesion 337 urinary incontinence 263–5 ventricular arrhythmias 54–6, 70
trigeminal neuralgia 326–7 urinary schistosomiasis 269 ventricular failure, right 65
triiodothyronine (T 3 ) 427, 432 urinary stones 270–2 ventricular fibrillation 56
trochlear nerve lesions 336–7 urinary tract ventricular hypertrophy
Tropheryma whippelii 167 imaging 228–9 left 74
tropical sprue 167 infection 265–70, 280 right 88
troponin 38, 39 obstruction 256–7 ventricular outflow obstruction, right
Trousseau’s sign 13, 449 sepsis 21 88
Trypanosoma cruzi 159 urine ventricular septal defects 84–6, 87, 88
tuberculin hypersensitivity 499 cloudy 224 ventricular shunt 324–5
tuberculin testing 105 discoloured 224–5 ventricular wall rupture 38
tuberculoma 308 electrolytes 227 verapamil 35
tuberculosis 102–6 flow 224 verrucae 402
bone infection 356 microscopy 227 vertigo 288–9
bronchiectasis 122 osmolality 5, 6 very low density lipoprotein (VLDL)
gastrointestinal tract 154 outflow obstruction 223, 262–3 509
metastatic 104 output 2, 3, 15 vesicoureteric reflux 268, 269
miliary 104, 105, 303 sodium concentration 5, 6 vesicourethral junction 261
prevention 106 tests 226–7 vestibulocochlear nerve lesion 338
pulmonary 103, 104–5 volume 224 Vibrio cholerae 153
tuberose sclerosis 346, 443 urobilinogen 473 vincristine 486, 496