Senior School Production-The Book of Everything. Tickets may now be booked for The Book of Everything; a play, adapted by Richard Tulloch, from the novel by Guus Kuijer.The Book of Everything runs for 3 nights from Thursday 22 October to Saturday 2...enior School Production-The Book of Everything. Tickets may now be booked for The Book of Everything; a play, adapted by Richard Tulloch, from the novel by Guus Kuijer.
Background. A toxic nodular goiter (TNG) is a thyroid gland that contains autonomously functioning thyroid nodules, with resulting hyperthyroidism. TNG, or Plummer's disease, was first described by Henry Plummer in 1913.TNG is the second most common cause of hyperthyroidism in the Western world, after Graves disease.ackground. A toxic nodular goiter (TNG) is a thyroid gland that contains autonomously functioning thyroid nodules, with resulting hyperthyroidism. TNG, or Plummer's disease, was first described by Henry Plummer in 1913.
The term non-toxic goiter refers to enlargement of the thyroid that is not associated with overproduction of thyroid hormone or malignancy. The thyroid can become very large so that it can easily be seen as a mass in the neck. This picture depicts the outline of a normal size thyroid in black and the greatly enlarged goiter in pink. There are a number of factors that may cause the thyroid gland to become enlarged. A diet deficient in iodine can cause a goiter, but this is rarely the cause because of the readily available iodine in our diets. A more common cause of goiter in America is an increase in thyroid stimulating hormone (TSH) in response to a defect in normal hormone synthesis within the thyroid gland. The thyroid stimulating hormone comes from the pituitary and causes the thyroid to enlarge. This enlargement usually takes many years to become manifest.