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This media file is a close-up, slightly blurry photograph of an open textbook. The image shows two pages of text and an illustration. The left page discusses "Tumours of the thyroid gland" and "Malignant tumours," with a section titled "DISORDERS OF THE PARATHYROID GLANDS" highlighted in a red box. This section includes a "Learning outcome" that explains the section's focus on abnormal parathyroid hormone secretion. Below this, it details "Hyperparathyroidism," listing its causes and effects, such as the formation of kidney stones and muscle weakness. The right page features a title, "Hypoparathyroidism," and explains its causes, including a deficiency in parathyroid hormone leading to low blood calcium levels. It lists symptoms like psychiatric disturbances, epilepsy, and brittle nails. The text also mentions the causes of hypoparathyroidism, such as damage during thyroidectomy or radiation. A sub-section titled "Tetany" describes spasms caused by hypocalcemia. An illustration on the right page depicts a simplified, full-body drawing of a person with their arms positioned outwards, hands slightly raised and palms facing upwards, and shoulders hunched. This figure is associated with the text above, likely illustrating a posture related to endocrine system function. The text above the illustration is partially obscured but appears to be a caption or title related to the endocrine system. Visible text includes section titles, bullet points detailing symptoms and causes, and the illustration caption. The overall setting is a book or educational material, suggesting an academic or study context. No specific time of day, weather, or emotions are discernible from the image. The location context provided (Jalingo, Nigeria) cannot be visually confirmed from the image itself.
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