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.
In spite of this the thyroid gland continues to grow and make thyroid hormone. Therefore, Gravesâ disease produces a goiter and hyperthyroidism. Multinodular goiters are another common cause of goiters. Individuals with this disorder have one or more nodules within the gland which cause thyroid enlargement. This is often detected as a nodular feeling gland on physical exam. Patients can present with a single large nodule or with multiple smaller nodules in the gland when first detected (see Thyroid Nodule brochure). Thus, in early stages of a multinodular goiter with many small nodules, the overall size of the thyroid may not be enlarged yet. Unlike the other goiters discussed, the cause of this type of goiter is not well understood. In addition to the common causes of goiter, there are many other less common causes.