It is difficult to reliably sonographically differentiate Hashimoto thyroiditis from other thyroid pathology. Ultrasound features can be variable depending of the severity and phase of disease 1,5 1  : diffusely enlarged thyroid gland with a heterogeneous echotexture is a common sonographic presentation 6.atients usually present with hypothyroidism +/- goitre. However a very small proportion of cases (~5%) can present with hyperthyroidism (hashithyrotoxicosis). There is often a gradual painless enlargement of the thyroid gland during the initially phase with atrophy and fibrosis later on in the course.
Kathryn /kath-ryn/ [2 sylls.] as a girls' name. Kathryn's name origin is Greek, and Kathryn means pure. Kathryn is a variant transcription of Catherine (Greek): from katharos. Kathryn is also a form of Katherine (Greek). Kreatif forms: Kathron, Kaythryn, Keithryn.
The name Wexalia, Wuxalia, or Wecsile is the medieval name of eastern Terschelling. However, this name disappeared at the end of the Middle Ages. The last appearance of the name Wexalia is in a treaty between Folkerus Reijner Popma, then ruler of Terschelling, with king Edward IV of England in 1482.he main source of income on Terschelling is tourism. There is some agriculture, but a large part of the island has become a nature reserve. Terschelling is well known for the yearly Oerol Festival during which theatre performances are played throughout the island, making use of its landscape and nature.