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September 2020 -
Volume 18, Issue 9

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Prevalence of Diabetes Distress among People with Type 2 Diabetes at Primary Health Care in Qatar: A cross-sectional Study
[Abstract]
[pdf]
Hani Abdalla, Ahmed Alnuaimi,Alawiya Gadallah, Hagir Salih, Kamar Badei , Mohammed Mushtaha, Ben Illigens
DOI: 10.5742MEWFM.2020.93850

Risk factors and complications of cataract disease in type two diabetic patients in Taif city
[Abstract]
[pdf]
Amal Saleh Alfaqeeh , Ayman Abdelbaky Atalla, Fatima Moeesh Altalhi, Futoon Abdullah Aljouid, Ohoud Owayedh Almutairi, Rawan Yasseen Bamjboor, Ameerah Saleh Bajaber
DOI: 10.5742MEWFM.2020.93851

Self-Medication with Antibiotics among Medical Students in Karachi: A Cross-Sectional Institution Based Study
[Abstract]
[pdf]
Hunain Asif, Tafazzul Hyder Zaidi, Kiran Mehtab, Marina Aziz, Khadija Khalid,
Maham Shamim Shaikh, Mahnoor, Sidra Zai, Batool Zehra, Maryam Nadeem,
Mirza Muhammad Hashim, Ramal Fatima, Syed Muhammad Abbas, Warda Batool
DOI: 10.5742MEWFM.2020.93866

Prevalence and risk factors of nonalcoholic fatty liver disease in primary health care centers among subjects examined by abdominal ultrasound in Qatar: A case-control study
[Abstract]
[pdf]
Abdelwahed Samir A. Abougazia , Ahmed Sameer Alnuaimi , Amal Said Mahran , Tamer Fathi Ali , Ahmed Abdelsattar Khedr , Tawhid Mohamed Mowafy
DOI: 10.5742MEWFM.2020.93852

Fibromyalgia in patients with psoriasis
[Abstract]
[pdf]
Abdulsatar J. Mathkhor. Jinan Q. Mohammed. Abdulnasser H. Abdullah. Amer S. Khudhairy. Hassanain H. Nasrullah
DOI: 10.5742MEWFM.2020.93853

Covid 19 in the Region or Covid Related Issues

Family Medicine Residents Mentoring During Covid-19 Pandemic and Beyond
[Abstract]
[pdf]
Muna Aseel, Fawziya Al Hor, Khalid Al-Karbi, Ahmad Bawazir, Muneera Al-Muhannadi, Isameldin Abdelbagi, Mohamed H. Mahmoud
DOI: 10.5742MEWFM.2020.93854

Trust and psychological safety in a virtual healthcare team
[Abstract]
[pdf]
Sanjeewa Sumathipala
DOI: 10.5742MEWFM.2020.93855

Implications of COVID -19 pandemic on Family medicine Residency training program and ACGME requirements at Qatar
[Abstract]
[pdf]
Rasha Moussa, Fawziya Al Hor, Muna Aseel.
DOI: 10.5742MEWFM.2020.93856

Population and Community Studies

Role of Family Doctors and Primary Health Care in COVID-19 Pandemic
[Abstract]
[pdf]
Faisal Abdullatif Alnaser
DOI: 10.5742MEWFM.2020.93857

Perceptions of millennials of twenty first century regarding position of women in Pakistani society
[Abstract]
[pdf]
Hana Javed , Tafazzul Hyder Zaidi , Kiran Mehtab
DOI: 10.5742MEWFM.2020.93858

What a high prevalence of rheumatic heart disease in sickle cell patients
[Abstract]
[pdf]
Mehmet Rami Helvaci, Ramazan Davran, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93859

Clinical Characteristics and Treatment of Cryptorchidism in Adults: Our Experience in Alsaidi hospital, in Aden, Yemen
[Abstract]
[pdf]
Ali Ahmed Salem Hatroom
DOI: 10.5742MEWFM.2020.93860

Glucose- 6-phosphate dehydrogenase deficiency: A review
[Abstract]
[pdf]
Sanjeewa Sumathipala
DOI: 10.5742MEWFM.2020.93862

Review

Thyroid disease in pregnancy and screening
[Abstract]
[pdf]
Shahzad Ahmed, Kashif Ali Raza
DOI: 10.5742MEWFM.2020.93861

Irritable bowel syndrome: Clinical review
[Abstract]
[pdf]
Kashif Ali Raza, Shahzad Ahmed
DOI: 10.5742MEWFM.2020.93863

Early effects of smoking and environmental pollution on lung function, respiratory symptoms and allergic disorders
[Abstract]
[pdf]
Fathi M. El-Gamal, , Ahmed M. Alserihi, Abdullah O. Alhasawi, Abdulrahman S. Alshamrani, Eyad M. Alghamdi, Hussain S. Althumali, Mohammed A. Al-Ghamdi
DOI: 10.5742MEWFM.2020.93867

Case Report

Alopecia Syphilitica: a case report involving hair loss on scalp and eyebrow
[Abstract]
[pdf]
Muhammad Naeem Barg, Waad Ibrahim Kadori
DOI: 10.5742MEWFM.2020.93864

H Syndrome: A Case Report
[Abstract]
[pdf]
Fadi Farhan Ayyash, Abdalrazzaq Ahmmad Alyassen, Alia Mousa Alkhlaifat, Nasser Eyadeh Banikhaled, Zaid Mousa Ali
DOI: 10.5742MEWFM.2020.93866


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
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September 2020 - Volume 18, Issue 9

Thyroid disease in pregnancy and screening

Shahzad Ahmed (1)
Kashif Ali Raza (2)

(1) Consultant family medicine – Primary Healthcare Corporation (PHCC) Qatar, Sessional GP UK

Corresponding author:
Dr Shahzad Ahmed MBChB, MRCGP Consultant family medicine
Primary Healthcare Corporation (PHCC) Qatar, Sessional GP UK
Email: shaahmed@phcc.gov.qa

Received: July 2020; Accepted: August 2020; Published: September 1, 2020. Citation: Shahzad Ahmed, Kashif Ali Raza. Thyroid disease in pregnancy and screening. World Family Medicine. 2020; 18(9): 98-105. DOI: 10.5742/MEWFM.2020.93861

Abstract


Thyroid dysfunction in the form of hypo and hyperthyroidism are some of the most common endocrine conditions encountered in primary care. The hormone deficiency or excess can be easily diagnosed and managed yet is potentially fatal in severe cases if left untreated. Detection of thyroid dysfunction becomes even more important in pregnant women because it can lead to various complications and adverse outcomes for the mother and foetus. Clinical manifestations of thyroid dysfunction can range from life threatening to no signs or symptoms. Furthermore, often, the non-specific symptoms can be difficult to differentiate from symptoms related to normal physiological changes in pregnancy that women often experience. Primary care physicians are the first point of contact for women when they become pregnant. Therefore, it’s important that clinicians are able to confidently diagnose and manage these conditions at the earliest opportunity by organising thyroid function tests and seeking specialist input where necessary. However, guidelines around the world advocate various approaches to decision making about testing pregnant women for thyroid disease. There is increasing debate about whether thyroid screening should be made universal. In this article we look at the current guidelines and latest evidence and opinion in this important area.

Key words: thyroid disease, pregnancy, screening

 







 


 
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