By Terry F. Davies
During this thought-provoking booklet, wonderful clinicians supply stimulating guideline and insights right into a large choice of endocrine topics, instructing readers glossy administration of the stipulations defined and delivering special access into the literature. The textual content displays a lot of the curriculum for scientific endocrine education prompt by way of the organization of software administrators in medical Endocrinology. Concise instances are via a number of selection inquiries to increase studying.
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Additional info for A Case-Based Guide to Clinical Endocrinology (Contemporary Endocrinology)
Interestingly, all of these drugs (iodine, amiodarone, interferon-alfa) can also produce hypothyroidism depending on the patient and the presence of underlying thyroid disease. The diagnosis of hyperthyroidism rests with finding elevated levels of thyroxine (T4 ) or triiodothyronine (T3 ) in conjunction with a suppressed serum TSH level. In the very rare patients with TSH-secreting tumors or resistance to thyroid hormone, the serum TSH will be inappropriately normal or elevated. Measurement of the 24-hour radioiodine uptake may be helpful, as it would be elevated in most conventional causes of hyperthyroidism and low in thyroiditis of any cause.
Standard of care for apoplexy remains surgical decompression. Based on the available evidence, would candidates for medical management of apoplexy might be patients with mild or nonprogressive visual loss. The availability of a neurosurgeon with significant experience in pituitary surgery is also a critical factor in the management decision. Apoplexy often is associated with adrenal insufficiency acutely. 5 g/dL) in the setting of the significant physiologic stress of an intracranial hemorrhage.
She did report a progressive weight gain of about 20 pounds over the prior 4 years as well as fatigue, sleep disturbance, hypertension, and hyperlipidemia. 5. She was not cushingoid (Fig. 1). Her skin did not show significant thinning, acanthosis, or striae. There was some facial rounding but no significant supraclavicular fullness. The physical exam was otherwise unremarkable. 0), and lumbar spine was normal. Family history was negative for any pituitary, adrenal, thyroid diseases, or osteoporosis.