The few passers-by who crossed wore the mask. Dr. Sansilvestro had forgotten at home: used it mainly at work, or in the case of close contact at risk. Breathe the mild air of spring, which contrasted strongly with the climate of the curfew that reigned in the city. A the hustle and bustle of a sudden distracted him from his thoughts. Along the stairs that led to the store of Emilio, one of the few open, poured a dozen people making a noise, the outputs from the emporio.
these days, a huge crowd, he thought Sansilvestro. The doctor looked at the group, trying to understand the event that had them alarmed. He lingered on the woman of a youth of cruelty in advance, slightly overweight, who was struggling, without taking the step of the other. She was pale and wrapped in a heavy black coat. From the bearskin jutting sparse tufts of hair of a blond faded. The doctor stood and, raising his hand said: “Madam, stop, I’m a doctor. I see that worries her. No effort. What is success?”. The lady stood still, and stared with her big blue eyes to the doctor, at the end he said slowly with a hoarse voice: “In the store a person has had a coughing spasm… and we escaped… until when shall we do it?”.
Sansilvestro replied: “Not to be a pessimist. Rather I noticed the signs of a disease that is supposed to treat well, better if already care. I can hear them on the wrist?”. The lady, titubando, came up and offered her hand. “Frequency adjust,” said the doctor – to sixty-four beats per minute. Now I am writing exams that should be done as soon as possible and the specialist who needs to consult”. What suspect Sansilvestro? Which specialist would you recommend?
your answers
Serves the endocrinologist for suspected hypothyroidism – Alessandra Guermandi
iron deficiency Anemia, iron deficiency, or linked to deficiency of vitamin B12 or folic acid. The appearance of the woman suggests that the cause may be hypothyroidism. Giulia Barranco
Hypothyroidism. Gino Puccinelli
it Could be hypothyroidism – Michele Rubertelli
dr. Sansilvestro suspected hypothyroidism, and then recommended an endocrinologist Pablo Cosci
Hypothyroidism – Silvano Landini
The patient has type 2 diabetes with vascular complications and symptoms of pulmonary insufficiency. The doctor sends for by the diabetologist for the specific analysis of the case. Lello Pompeii Capoterra
* Ernesto Di Cianni, doctor of general medicine, Asl Napoli 3 south
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