Download The Adrenal Gland by C. R. Kannan M.D. (auth.) PDF

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By C. R. Kannan M.D. (auth.)

This quantity, The Adrenal Gland, is the second one within the medical Surveys in Endo­ crinology sequence. Like its predecessor at the pituitary gland, this paintings is written with one function in mind-to view the massive, suitable adrenal literature via a clinician's eyes. The tricky, and sometimes advanced, interrelationship among the medical and examine views of "adrenology" poses a problem. this can be, partially, as a result in most cases held trust that the milieux of steroid hormone examine and medical drugs are parallel phenomena, now not destined to satisfy. however the twain do meet, and infrequently with relative ease, while considered as dual elements of an identical gem. The view provided during this paintings is from the vantage aspect of the scientific endocrinologist who applies the study literature to appreciate adre­ nal illnesses extra in actual fact. Adrenal pathology is arguably the main interesting of all endocrinopathies. the photographs of sufferers struggling with adrenal ailments are of kaleidoscopic caliber: the infant baby with ambiguous genitalia, in whom the first actual ritual of assigning intercourse turns into shrouded with uncertainty; the revitalized pa­ tient with hitherto undiagnosed Addison's affliction, who yet for the cognitive powers of the endocrinologist could have eventually succumbed, undiagnosed; the virilized lady with adrenal tumor and its attendant onslaught at the physique and brain; the febrile sufferer with pheochromocytoma masquerading as fever of undetermined beginning for months.

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Constitutional ....................................... ........ Dermatological ...................................... ........ Gastrointestinal ................................................. Cardiovascular .................................... Musculoskeletal ............................... Renal .......................................... Psychiatric .................................. Gonadal ....................................................

One cannot predict the impact that the controversy over acceptance of his discovery had on the tragic events to come. A glimpse of that dejection can be sensed in a discussion he gave at the Royal Medical and Chirurgical Society of London in 1858, 2 years before his death, and 3 years following the publication of his monograph. "2 These words, spoken in front of a Society that had repeatedly shown no faith in his works, do indicate a sense of faltering in the beliefs that he had once held so strongly.

Wilks, not only fervently believed in Addison's discovery, but helped him investigate additional cases. Having just qualified as a Fellow of the Royal College of Physicians, he took Addison's modified paper to the Society, which, despite the academic authenticity of Samuel Wilks, once again was refused publication. Wilks, with unflinching fervor, persuaded Addison to publish his findings on his own. Thus, 6 years later, Addison had his monograph published on his own, without the support or mediation of the Society.

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