Endocrine Abstracts

Adult endocrine specialist nursing (ESN) is a highly specialised role and in recent years nurses have expanded their roles according to local need (Kieffer.V, et al. 2015). As an Endocrine team we review our practice, striving to provide the highest standard of research based, patient centred care. This involves ensuring the best use of resources and service provision in an ever more demanding environment. A new initiative lead by the ESN with consultant supervision w...

The British Thyroid Association executive committee advised in 2015 that there was insufficient evidence that levothyroxine(T4) and liothyronine(T3) combination therapy was superior to levothyroxine monotherapy, which remains the standard treatment of primary hypothyroidism. It was considered an experimental approach in symptomatic patients on T4 therapy with a TSH level within normal range.We present a 47-year-old lady who had been diagnosed with primar...

Aim: Role of Endocrine Specialist Nurse (ESN) in performing cannulated prolactin and subsequent impact on outpatient clinic activities.Introduction: Hyperprolactinemia is a common condition in endocrine clinical practice. It may occur in any sex, at any age and its prevalence and incidence depend on study population. The most common physiological causes of elevated prolactin are stress, lactation, pregnancy and exercise. Non-physiological causes include ...

This is a case of a 38-year-old lady with a past medical history of Ehlers Danlos Syndrome, functional neurological syndrome and unremarkable cardiac investigations for palpitations. She was referred by her general practitioner (GP) with episodic shaking, excessive sweating, recurrent hypo-and hyperglycaemia recorded by her own capillary blood glucose (CBG) meter, ranging from 1.9mmol/l to 19mmol/l. The episodes would mostly occur 1 to 3 times per week, usually in the afternoo...