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Ask the individual if he she was referred to an ophthalmologist during the last 12 months. Alternatively, obtain this information from appropriate documentation. relates to the data element Health professionals attended diabetes mellitus vers 1 relates to the data element Blindness diabetes complication vers 1 relates to the data element Cataract history vers 1 relates to the data element Ophthalmological assessment outcome vers 1 relates to the data element Ophthalmoscopy performed vers 1 relates to the data element Visual acuity vers 1.
Pregnancy requires special considerations because pregnancy induces major changes in thyroid function, and maternal thyroid disease can have adverse effects on the pregnancy and the fetus. Care requires coordination among several healthcare professionals. Avoiding maternal and fetal ; hypothyroidism is of major importance because of potential damage to fetal neural development, an increased incidence of miscarriage, and preterm delivery. Maternal hyperthyroidism and its treatment may be accompanied by coincident problems in fetal thyroid function. Autoimmune thyroid disease is associated with both increased rates of miscarriage, for which the appropriate medical response is uncertain at this time, and postpartum thyroiditis. Fine-needle aspiration cytology should be performed for dominant thyroid nodules discovered in pregnancy. Radioactive isotopes must be avoided during pregnancy and lactation. Universal screening of pregnant women for thyroid disease is not yet supported by adequate studies, but case finding targeted to specific groups of patients who are at increased risk is strongly supported. J Clin Endocrinol Metab: 92 8 ; Supplement ; : S1-S47, 2007, for example, loratadine drug.
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